JERRY J II FRY (LCSW) – Clinical Social Worker, NPI 1881861714
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,711 CLINICAL SOCIAL WORKER in IN
Provider Addresses for JERRY J II FRY (LCSW)
655 E Main St
Peru, IN 469702662
Phone: (765) 472-1931
Fax: (765) 472-1945
Type: Location
1200, West Monroe Street, Greektown, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60607, United States
CHICAGO, IL 606032420
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
East Washington Street, Irvington, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462196614
Phone: (317) 808-7085
Fax: (317) 708-0115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200414000471 | I | Clinical Social Worker | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 20 | 20 | $0 |
Insurance plans in this area (ZIP 46970)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| - | IN | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN |
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