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Jacquelyn Fry

Social Worker β€’ Eagle Point, OR

Active NPI 1992218408 Individual Practitioner Female Practitioner
Practice location in NPPES

413 Teakwood Dr
Eagle Point, OR 975246608

Call 3375098607 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

413 Teakwood Dr

Eagle Point, OR 975246608

Telephone 3375098607
Organization at the Same NPPES Address or Phone
Rogue Reflection Counseling Facility NPI 1225969819

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagle Point and Oregon

2 active clinicians are listed under Social Worker with a practice address in Eagle Point, OR (2,104 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-17
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OR A14436

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location April 17, 2024

Registered at 413 TEAKWOOD DR, EAGLE POINT, OR 975246608 (Tel: 3375098607)

πŸ“
Updated Business Mailing Address April 17, 2024

Registered at 413 TEAKWOOD DR, EAGLE POINT, OR 975246608

πŸ‘€
Provider Name / Credentials Updated March 05, 2020

Recorded as JACQUELYN FRY

πŸ“
Updated Practice Location March 09, 2019

Registered at 1112 NOLAN TRCE STE B, LEESVILLE, LA 714463838 (Tel: 3374047731)

πŸ“
Updated Business Mailing Address March 09, 2019

Registered at 1112 NOLAN TRCE STE B, LEESVILLE, LA 714463838

πŸ“
Updated Practice Location July 26, 2018

Registered at 305 S HIGHLAND DR, MANY, LA 71449 (Tel: 3182565200)

βœ…
NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 07, 2017

Registered at 305 S HIGHLAND DR, MANY, LA 714493719 (Tel: 3182565200)

πŸ“
Business Mailing Address (Initial Record) November 07, 2017

Registered at 3625 YOUREE DR, SHREVEPORT, LA 711052121

πŸ‘€
Provider Name / Credentials (Initial Record) November 07, 2017

Recorded as JACQUELYN BRAGG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

Counselor

🟒
Initial NPI Registration & Enumeration November 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992218408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2017
Last Update: April 17, 2024
Sole Proprietor: No

Mailing Address

413 Teakwood Dr

Eagle Point, OR 975246608

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.