Active NPI
N. Joel Fry, LISW, LCSW
- Clinical Social Worker
- Indianola, IA
National Provider Identifier
1649294638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05713
- Practice address
- 14424 Kennedy St
Indianola, IA 50125-8251 - Phone
- (515) 238-9010
- Fax
- (641) 342-1017
- NPI assigned
- Jul 26, 2006
- Last updated
- Nov 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05713 | IA | Primary |
Addresses
Primary practice location
14424 Kennedy St
Indianola, IA 50125-8251
Mailing address
1473 195TH Ave
Osceola, IA 50213-8222
Phone (515) 238-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10346 | Other | IA | WELLMARK PROVIDER NUMBER |
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 |
|---|---|---|---|
| 05713 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Restoration Ministries, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Osceola, IA
- NPI 1831481605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1649294638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1473 195TH AVE",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502138222",
"telephone_number": "515-238-9010",
"fax_number": "641-342-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14424 KENNEDY ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501258251",
"telephone_number": "515-238-9010",
"fax_number": "641-342-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "N. JOEL",
"credential": "LISW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "05713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PROVIDER NUMBER",
"identifier": "10346",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.