Individual
N. JOEL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LCSW
Contact information
Practice address
14424 KENNEDY ST, INDIANOLA, IA 50125-8251
(515) 238-9010
(641) 342-1017
Mailing address
1473 195TH AVE, OSCEOLA, IA 50213-8222
(515) 238-9010
(641) 342-1017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05713
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10346
WELLMARK PROVIDER NUMBER
IA
Enumeration date
07/26/2006
Last updated
11/08/2025
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