Brenda Bearden Fry, MSSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25240 Issued in TX

Practice address

903 Forest St
Georgetown, TX 78626-5523

Phone

(512) 963-2236

NPI assigned

Jul 8, 2005

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cool Water Case Management LLC

  • Case Management Agency
  • Harker Heights, TX
  • NPI 1679948947
  Authorized official Same address or phone
• W. Schaffer & Associates

  dba d/b/a Counselors of Texax

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1528067576
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1225036825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD VISTA CT",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288249",
            "telephone_number": "512-963-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265523",
            "telephone_number": "512-963-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "BRENDA",
        "middle_name": "BEARDEN",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "25240",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071295203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071295202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "87142Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Frey
• Amy K Friggle, PA-C
• Front Line Peak Performance
• Frontier Infusion Center RP LLC (Frontier Infusion Center)
• Frontline Mobile Health
• Full Circle Wellness and Psychotherapy, PLLC
• Griffin Lowe Fuller, M.D.
• Lucy Fuller, MA, CCC-SLP
• Jason Matthew Funke, DPT
• Rachelle Ann Gabaldon

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.