Individual provider · Type 1 NPI

Edward Raymond Frye, LCSW

Clinical Social Worker · Great Lakes, IL

NPI number 1962474551 Active

Practice location

3001 A Sixth St
Great Lakes, IL 60088

Call (847) 688-3607 Map

Mailing address

1023 Austin Ave
Park Ridge, IL 60068-2644

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1962474551

Edward Raymond Frye, LCSW's National Provider Identifier is 1962474551, issued on Feb 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.