Individual provider Active NPI

Jennifer Franck, LISW-S, LICSW, LCSW

  • Clinical Social Worker
  • Mentor, OH
National Provider Identifier
1639793136
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009862-SUPV Issued in OH
Practice address
7691 Mary LN
Mentor, OH 44060-5901
Phone
(440) 668-4643
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 32922 MN
Clinical Social Worker 1041C0700X I.0009862-SUPV OH Primary
Clinical Social Worker 1041C0700X LC23471 ME

Addresses

Primary practice location

7691 Mary LN
Mentor, OH 44060-5901

Mailing address

7691 Mary LN
Mentor, OH 44060-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210504002076 OH Practitioner - Clinical Social Worker 9032528070 Reassigns benefits to 3 organizations
I20251001004560 MN Practitioner - Clinical Social Worker 9032528070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23471MEMDClinical Social Worker
32922MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Sep 15, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 26, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients
Optum Behavioral Care of Ohio, Inc Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490

1020 Dennison Ave
Ste 101
Columbus, OH 43201
Phone (614) 233-1175

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1639793136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 MARY LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 MARY LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605901",
            "telephone_number": "440-668-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "JENNIFER",
        "credential": "LISW-S, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32922",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009862-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.