Individual provider · Type 1 NPI

Jacquelyn Fry

Clinical Social Worker · White City, OR

NPI number 1992218408 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Call (541) 826-2111 Map

Mailing address

413 Teakwood Dr
Eagle Point, OR 97524-6608

Other practice locations

  • 1611 E Barnett Rd, Medford, OR 97504-8284 · (541) 414-4670
  • 413 Teakwood Dr, Eagle Point, OR 97524-6608 · (337) 509-8607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA14436 (OR)

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 1992218408

Jacquelyn Fry's National Provider Identifier is 1992218408, issued on Nov 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in White City, OR. The record was last updated on Oct 27, 2026.