Active NPI
Sonja Anne Fry, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1003011099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4131
- Practice address
- 211 E 7TH Ave
Eugene, OR 97401-2773 - Phone
- (541) 242-0467
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4131 | OR | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
211 E 7TH Ave
Eugene, OR 97401-2773
Mailing address
211 E 7TH Ave
Eugene, OR 97401-2773
Phone (541) 242-0467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L4131 | Other | OR | VA EMPLOYEE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4131 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1003011099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E 7TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012773",
"telephone_number": "541-242-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E 7TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012773",
"telephone_number": "541-242-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "SONJA",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4131",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA EMPLOYEE",
"identifier": "L4131",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.