Individual provider Active NPI

Kristina Lee Frank, LCSW

  • Clinical Social Worker
  • Sycamore, IL
National Provider Identifier
1801566286
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2225 Gateway Dr
Sycamore, IL 60178-3139
Phone
(815) 518-6263
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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 Primary

Addresses

Primary practice location

2225 Gateway Dr
Sycamore, IL 60178-3139

Mailing address

1624 W Motel Rd
Sycamore, IL 60178-1089
Phone (815) 621-9380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230414001640 IL Practitioner - Clinical Social Worker 8325413800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enriching Wellness LLCGroup PAC ID 5092134411, 2 clinicians

Practice addresses (Care Compare)

2225 Gateway Dr
Suite B
Sycamore, IL 60178-3139
Phone (815) 518-6263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enriching Wellness LLC CurrentSince Mar 31, 2023 Accepting new patients

Locations

2225 Gateway Dr
Sycamore, IL 60178
Phone (815) 501-4857

2225 Gateway Dr
Ste B
Sycamore, IL 60178
Phone (815) 518-6263

Organizations & group practices 1

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1801566286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W MOTEL RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781089",
            "telephone_number": "815-621-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783139",
            "telephone_number": "815-518-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KRISTINA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.