Individual provider · Type 1 NPI

Micah Fry, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1154898922 Active

Practice location

1900 W Polk St Ste 154
Chicago, IL 60612-3723

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	149019265 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1154898922

Micah Fry, LCSW's National Provider Identifier is 1154898922, issued on Oct 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 30, 2018.