Todd A Fry, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I5386 Issued in OH

Practice address

605 S Trimble Rd Suite D
Life Steps Inc
Mansfield, OH 44906

Phone

(419) 756-9975

Fax

(419) 756-1405

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Jay D Haar

  • Addiction Psychiatry Physician
  • Mansfield, OH
  • NPI 1699957050
  NPD (past)
• Life Steps Inc

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1588870646
  NPD (past)
• Northwoods Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Columbus, OH
  • NPI 1841698669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043398506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD SUITE D",
            "address_2": "LIFE STEPS INC",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "3417125562A15",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Freund, RN
• Renee Freund
• Friend Home
• Gary Lee Frisbee, D.P.M.
• Jamie Fry, LPN
• Jill Kathleen Fulk, RD, LD, CDE
• Deangela Fuller
• Jasmine T Fuller, LPN
• Radiah Fuller
• Kaia Fulton

• Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.