MR. THOMAS FRANSEN LCSW
NPI 1205962321
Social Worker - Clinical in Chicago, IL
NPI Status: Active since February 25, 2007
Contact Information
55 E MONROE ST STE 3800
CHICAGO, IL
ZIP 60603
Phone: (773) 615-5949
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About THOMAS FRANSEN
This page provides the complete NPI Profile along with additional information for Thomas Fransen, a provider established in Chicago, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1205962321 assigned on February 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 149010276 (IL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1205962321
- Provider Name
- MR. THOMAS FRANSEN LCSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 E MONROE ST STE 3800 CHICAGO, IL 60603
- Location Phone
- (773) 615-5949
- Mailing Address
- 901 W ARGYLE ST APT 6I CHICAGO, IL 60640
- Mailing Phone
- (773) 615-5949
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-25-2007
- Last Update Date
- 12-18-2018
- Code Navigator
A clinical social worker like Thomas Fransen is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149010276
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01635691 | OTHER (01) | IL | BCBS PPO NUMBER |
| 149010276 | OTHER (01) | IL | STATE LICENSE NO. |
Medicare Participation & PECOS Enrollment Status
Thomas Fransen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60603 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 6 | 2 | 3 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 6 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 6 + 4 + 3 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1205962321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679855209 | JAMES MCCLYMONDS PSY.D., HSPP Individual | Psychologist | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 348-6296 |
| 1841799830 | CARROLL CARES THERAPY CENTER Organization | Counselor (Professional) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 709-8722 |
| 1831607027 | DR. AMANDA RANKIN PSYD Individual | Psychologist (Clinical) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (773) 669-4716 |
| 1518470368 | MARIA MIRZA LCSW Individual | Social Worker (Clinical) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 714-0341 |
| 1659874469 | STEPHANIE BENEDICT Individual | Psychologist (Clinical) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (872) 256-1418 |
| 1649792078 | MCCLYMONDS PSYCHOLOGICAL SERVICES Organization | Psychologist (Clinical) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 881-6296 |
| 1518573096 | AGILE TECHNOLOGIES LLC Organization | Public Health or Welfare | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 388-3513 |
| 1306443833 | INSTITUTE FOR HIGHER PERFORMANCE Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 952-7792 |
| 1326555855 | COLLIANCE WELLNESS PLLC Organization | Clinic/Center (Adult Mental Health) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 714-0341 |
| 1780994871 | JESSICA A RENNER M.A., LCPC, SOTP Individual | Counselor (Professional) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (312) 613-1142 |
| 1346864485 | DOMINIQUE CATRON Individual | Non-emergency Medical Transport (VAN) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (877) 785-8462 |
| 1972226769 | ULTIMATE CHOICE TRANSPORTATION LLC Organization | Non-emergency Medical Transport (VAN) | 55 E MONROE ST STE 3800 CHICAGO, IL 60603 (877) 785-8462 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205962321, enumerated in the NPI registry as an "individual" on February 25, 2007
The provider is located at 55 E Monroe St Ste 3800 Chicago, Il 60603 and the phone number is (773) 615-5949
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $74.8 and an average copayment of 18.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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