Leiv A Fry, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093244 Issued in MI

Practice address

1110 Eldon Baker Dr
Flint, MI 48507-1923

Phone

(810) 618-3079

Fax

(810) 232-2782

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Alternative Community Living, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saginaw, MI
  • NPI 1487008652
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1730397183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134 LOUISE DR",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483503930",
            "telephone_number": "810-618-3079",
            "fax_number": "810-232-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ELDON BAKER DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071923",
            "telephone_number": "810-618-3079",
            "fax_number": "810-232-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "LEIV",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wang William Fridline
• Neil Allen Friedman, M.D.
• Patricia Ann-Hein Fritz, CRNA
• Kathryn Jo Fromm, M.S.W.
• Jaquana Frost
• Shawn A. Fryzel, CRNA
• Korrina Fudge, MD
• Nicole J Fuglseth, LPN,CNA
• Bernadette Lynn Fulco, RN
• Bernita Wynn Fuller, LLPC

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.