NPIMap

Organization Active NPI

Fry LCSW, Inc.

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1740336916
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002889 Issued in GA
Legal business name
FRY LCSW, INC.
Practice address
370 Prospect PL
Alpharetta, GA 30005-5467
Phone
(678) 491-1806
NPI assigned
Jan 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Jeffrey S. Fry, LCSWNPI 1891701850
Title
President
Phone
(866) 525-2128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW002889 GA Primary

Addresses

Primary practice location

370 Prospect PL
Alpharetta, GA 30005-5467

Mailing address

3593 Brookefall CT
Suwanee, GA 30024-7033
Phone (678) 491-1806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1740336916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 BROOKEFALL CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247033",
            "telephone_number": "678-491-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055467",
            "telephone_number": "678-491-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRY LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-525-2128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.