Individual provider Active NPI

Angela Frances Trowbridge

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1326466996
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016407 Issued in IL
Practice address
1020 S 5TH St
Springfield, IL 62703-2312
Phone
(217) 544-3143
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.016407 IL Primary

Addresses

Primary practice location

1020 S 5TH St
Springfield, IL 62703-2312

Mailing address

9 Ranger Dr
Springfield, IL 62702-1570
Phone (217) 370-9866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609001430 IL Practitioner - Clinical Social Worker 9931323110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2151 W White Oaks Dr
Suite D
Springfield, IL 62704-6410
Phone (217) 588-9156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016407ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Building Bridges Family Therapy, LTD. Clinical CurrentSince Aug 2, 2019 Accepting new patients

Locations

2151 W White Oaks Dr
Ste D
Springfield, IL 62704
Phone (217) 319-9451

Interoperability endpoints

  • Direct secure messaging: angela.trowbridge.1@26408.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26408/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1326466996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RANGER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021570",
            "telephone_number": "217-370-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032312",
            "telephone_number": "217-544-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "ANGELA",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.