Individual provider Active NPI

Candy Frye, LMSW

  • Social Worker
  • Bayside, NY
National Provider Identifier
1346794518
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075174 Issued in NY
Practice address
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone
(716) 864-0614
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 075174 NY Primary

Addresses

Primary practice location

3635 Bell Blvd Ste 203
Bayside, NY 11361-2097

Mailing address

624 River Rd
North Tonawanda, NY 14120-6563
Phone (716) 693-9961

Other practice location 1

624 River Rd
North Tonawanda, NY 14120-6563
Phone (716) 693-9961 ext. 311

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

LicenseStateTypeSpecialty
075174NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1346794518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 RIVER RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206563",
            "telephone_number": "716-693-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BELL BLVD STE 203",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612097",
            "telephone_number": "716-864-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 River Rd",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141206563",
            "country_code": "US",
            "telephone_number": "716-693-9961 x311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "CANDY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.