Active NPI
Gretchen Ann Fry, LCSW
- Clinical Social Worker
- Lakewood Ranch, FL
National Provider Identifier
1912314931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16782
- Practice address
- 8018 Waterview Blvd
Lakewood Ranch, FL 34202-2257 - Phone
- (973) 224-0704
- NPI assigned
- Jul 22, 2014
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05575100 | NJ | |
| Clinical Social Worker | 1041C0700X | 16782 | FL | Primary |
Addresses
Primary practice location
8018 Waterview Blvd
Lakewood Ranch, FL 34202-2257
Mailing address
8018 Waterview Blvd
Lakewood Ranch, FL 34202-2257
Phone (973) 224-0704
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 |
|---|---|---|---|
| 44SC05575100 | NJ | MD | Clinical Social Worker |
| 16782 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1912314931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8018 WATERVIEW BLVD",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022257",
"telephone_number": "973-224-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8018 WATERVIEW BLVD",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022257",
"telephone_number": "973-224-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "GRETCHEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05575100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "16782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
- Philip Brian Freed, MPAS,MPA
- Fresenius Medical Care Lakewood Ranch, LLC (Fresenius Kidney Care Lakewood Ranch Home Dialysis)
- Fresenius Medical Care Lakewood Ranch, LLC (Fresenius Kidney Care Lakewood Ranch)
- Matthew Frey
- Friendly City Counseling, LLC
- Functional Performance
- Charles M Funk, PT
- Carolina Vasquez Gallego, PT
- Lauren Galvan, MS, CCC-SLP
- Helena P Garavito, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.