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FRANKIE MADISON
NPI 1811744949
Social Worker - Clinical in Boardman, OH

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
6614 SOUTHERN BLVD BLDG E, BOARDMAN, OH 44512(330) 746-8056 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Frankie Madison NPPES

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

FRANKIE MADISON (NPI 1811744949) is an individual clinical provider in Boardman, Ohio, licensed in Ohio (I.2405343) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811744949
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameFRANKIE MADISON
Location Address6614 SOUTHERN BLVD BLDG EBoardman, OH 44512-3455
Mailing Address6614 Southern Blvd Bldg EBoardman, OH 44512-3455 · (330) 746-8056
Phone(330) 746-8056
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1811744949 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 OH · I.2405343
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.
6614 SOUTHERN BLVD BLDG E, Boardman, OH 44512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Frankie Madison 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 ID1557881455
PECOS Enrollment IDI20250221003098
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 Frankie Madison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lswhb LLC
230 mi
Behavioral Neurology & Neuropsychiatry
675 HOBBY HORSE LN
Milford, OH 45150
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1407325939 (513) 443-1700

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 44512 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

MISS KRISTEN MARIE KOLESZAR LPC
Counselor (Mental Health)
6614 SOUTHERN BLVD BLDG E
BOARDMAN, OH 44512
Mahoning County (330) 746-8056
MACY JEAN METZGER
Counselor (Mental Health)
6614 SOUTHERN BLVD BLDG E
BOARDMAN, OH 44512
Mahoning County (330) 543-5015

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 Frankie Madison's NPI number?

The NPI number for Frankie Madison is 1811744949. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Frankie Madison located?

Frankie Madison practices at 6614 Southern Blvd Bldg E, Boardman, OH 44512. The listed phone number is (330) 746-8056.

What is Frankie Madison's specialty?

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

Is Frankie Madison enrolled in Medicare?

Yes. Frankie Madison 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 Frankie Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frankie Madison reassigns Medicare benefits to Lswhb LLC (Milford, OH). 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 Frankie Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frankie Madison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Frankie Madison 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 Frankie Madison was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.