Individual provider Active NPI

Carrie Ann Jancar, MSSA, LISW

  • Clinical Social Worker
  • Strongsville, OH
National Provider Identifier
1720337082
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100160 Issued in OH
Practice address
11565 Pearl Rd Ste 200
Strongsville, OH 44136-3356
Phone
(440) 846-0862
Fax
(440) 846-0890
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100160 OH Primary

Addresses

Primary practice location

11565 Pearl Rd Ste 200
Strongsville, OH 44136-3356

Mailing address

11565 Pearl Rd Ste 200
Strongsville, OH 44136-3356
Phone (440) 846-0862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000111 OH Practitioner - Clinical Social Worker 8921240342 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100160OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC CurrentSince Dec 1, 2022 Accepting new patients
Mindfully, LLC Clinical CurrentSince Dec 1, 2022 Accepting new patients
Family First Solutions LLC Clinical CurrentSince Mar 19, 2024 Accepting new patients

Locations

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

20025 Lunn Rd
Strongsville, OH 44149
Phone (216) 299-1978

Organizations & group practices 3

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": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1720337082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD STE 200",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "440-846-0862",
            "fax_number": "440-846-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD STE 200",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "440-846-0862",
            "fax_number": "440-846-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCAR",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "100160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.