Jody Fry is a Clinical in Marion, Indiana. Jody Fry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody Fry is 1699805689. The last update date is 2007-07-08.
Jody Fry's current location address is 5230 S Western Ave, Marion, Indiana. You can contact this provider via phone number 7656742208 and fax number 7656743273. The mailing address for Jody Fry is 5230 S Western Ave, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Fry |
|---|---|
| Address | 5230 S Western Ave, Marion, Indiana |
| Phone Number | 7656742208 |
| Fax Number | 7656743273 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699805689 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5230 S Western Ave |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469535778 |
| Phone Number | 7656742208 |
| Fax Number | 7656743273 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004934A |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361580 | IN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jody Fry?
The Jody Fry has been issued the NPI (National Provider Identifier) 1699805689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jody Fry's physical address?
The Jody Fry is physically located at 5230 S Western Ave, in the city of Marion, IN, with the postal code 469535778.
What is Jody Fry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jody Fry is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Jody Fry receive its 1699805689 assignment from the Centers for Medicare & Medicaid Services?
The Jody Fry was assigned its 1699805689 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date was the information regarding Jody Fry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jody Fry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.