TRACY MARIE FRYER MSW, LCSW
NPI 1043247216
Social Worker - Clinical in Fort Campbell, KY

Q: What is Tracy Fryer's NPI number?

The NPI number for Tracy Fryer is 1043247216. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Tracy Fryer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Fryer was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2006

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 461-2471 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracy Marie Fryer Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MARIE FRYER MSW, LCSW (NPI 1043247216) is an individual clinical provider in Fort Campbell, Kentucky, licensed in Missouri (2001001527) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1043247216

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACY MARIE FRYERCredential: MSW, LCSW

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 461-2471

Phone(270) 461-2471

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateMay 30, 2013

✔ NPI 1043247216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MO · 2001001527✔ Licensed in IL · 149-009566

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

650 JOEL DR, Fort Campbell, KY 42223

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Other Identifiers 1

Other2001001527MO · Missouri Lcsw License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN

Registered Nurse