Individual provider Active NPI

Sheryl Frye, LCSW

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1912458431
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008303 Issued in IL
Practice address
2455 Dean St
Unit3G
St Charles, IL 60175-4830
Phone
(630) 262-2640
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149008303 IL Primary

Addresses

Primary practice location

2455 Dean St
Unit3G
St Charles, IL 60175-4830

Mailing address

584 Bush St
Dekalb, IL 60115-4086
Phone (217) 741-1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710002159 IA Practitioner - Clinical Social Worker 4880973619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Clinical Associates PLLCGroup PAC ID 2062648017, 25 clinicians

Practice addresses (Care Compare)

2500 82ND PL
Urbandale, IA 50322-4329
Phone (515) 412-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008303ILMDClinical Social Worker
088430IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1912458431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BUSH ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154086",
            "telephone_number": "217-741-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST",
            "address_2": "UNIT3G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-262-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "SHERYL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.