MALLORY FRANTSEN
NPI 1326657131
Social Worker - Clinical in Sioux Falls, SD

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
2412 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-4284 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Frantsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY FRANTSEN (NPI 1326657131) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (5088) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326657131
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALLORY FRANTSEN
Location Address2412 S CLIFF AVESioux Falls, SD 57105-4031
Mailing Address4009 W Mary Jo Pl Apt 410Sioux Falls, SD 57108-3521 · (507) 840-0605
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1326657131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SD · 5088
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2412 S CLIFF AVE, Sioux Falls, SD 57105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Frantsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658799135
PECOS Enrollment IDI20200915002582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Frantsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
2412 S CLIFF AVE, SUITE 200
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.52 – $167.23
Typical copayment $0.00 (range $13.88 – $41.80)
Most-billed visit code NA
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2412 S CLIFF AVE, STE 200
SIOUX FALLS, SD 57105
Counselor (Professional)
2412 S CLIFF AVE
SIOUX FALLS, SD 57105
Counselor (Professional)
2412 S CLIFF AVE
SIOUX FALLS, SD 57105
Counselor (Professional)
2412 S CLIFF AVE, SUITE 200
SIOUX FALLS, SD 57105
Social Worker (Clinical)
2412 S CLIFF AVE, STE 200
SIOUX FALLS, SD 57105
Clinical Neuropsychologist
2412 S CLIFF AVE
SIOUX FALLS, SD 57105
Social Worker (Clinical)
2412 S CLIFF AVE, STE 200
SIOUX FALLS, SD 57105
Marriage & Family Therapist
2412 S CLIFF AVE, SUITE 100
SIOUX FALLS, SD 57105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Frantsen's NPI number?

The NPI number for Mallory Frantsen is 1326657131. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Mallory Frantsen located?

Mallory Frantsen practices at 2412 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-4284.

What is Mallory Frantsen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mallory Frantsen enrolled in Medicare?

Yes. Mallory Frantsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallory Frantsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Frantsen reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Frantsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Frantsen accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Mallory Frantsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Frantsen was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.