MR. EDWARD RAYMOND FRYE (NPI# 1962474551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962474551 |
| Entity Type | Individual |
| Full Name | MR. EDWARD RAYMOND FRYE |
| Credential | LCSW |
| Practice Address |
3001 A Sixth St Great Lakes IL 60088 |
| Mailing Address |
1023 Austin Ave Park Ridge IL 60068-2644 |
| Practice Telephone | 8476883607 |
| Mailing Telephone | 8476883607 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740482512 | Edward Louis Frye | Occupational Therapist | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2007-06-04 |
| 1952392557 | Edward Kent Frye | Urology | 455 W Court St, Ste 403, Kankakee, IL 60901-3679 | 2005-11-02 |
| Street Address |
3001 A SIXTH ST |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257403 | John J Murphy | Dentist | 3001 A Sixth St, Great Lakes, IL 60088-5211 | 2005-12-22 |
| 1427130400 | Howard Wayne Roberts | Dentist | 3001 A Sixth St, Great Lakes, IL 60088 | 2006-10-19 |
| 1932171394 | Thomas Peter Barton | Dentist | 3001 A Sixth St, Naval Hospital Great Lakes, Great Lakes, IL 60088-5200 | 2006-02-01 |
| 1710957154 | Robert Stephen Rhodes | Dentist | 3001 A Sixth St, Naval Health Clinic, Great Lakes, IL 60088 | 2006-01-26 |
| 1295714616 | Michael Joseph Herriges | Dentist | 3001 A Sixth St, Great Lakes, IL 60088-5230 | 2006-01-13 |
| 1477531739 | Mark David Gilberts | Dentist | 3001 A Sixth St, Naval Hospital Great Lakes, Great Lakes, IL 60088-5211 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366414948 | Anne H. Clinton-cirocco | Social Worker | 3001 A Sixth Street, Great Lakes, IL 60088 | 2006-02-07 |
| 1699913459 | Pamela Joan Rosentreter | Social Worker | 3001 6th St Ste A, Bldg 200h, Great Lakes, IL 60088-2833 | 2009-01-31 |
| 1275782070 | Sherri Lynn Kenig | Social Worker | 3001 6th St Ste A, Naval Health Clinic Mental Health, Great Lakes, IL 60088-2833 | 2008-09-17 |
| 1841269214 | Joseph J. Ford Jr. | Social Worker | 3001 6th St, Naval Hospital Great Lakes, Great Lakes, IL 60088-2833 | 2006-03-16 |
| 1447227012 | Elyce Meilstrup | Social Worker | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-03-02 |
| 1134191729 | Shirley Walley Mccullough | Social Worker | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.