Individual provider Active NPI

Ken Froessel, LCSW

  • Clinical Social Worker
  • Cottonwood, AZ
National Provider Identifier
1487509154
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23643 Issued in AZ
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
Fax
(866) 984-3891
NPI assigned
Feb 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 LCSW-23643 AZ Primary

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

PO Box 1466
Sedona, AZ 86339-1466
Phone (928) 300-1658

Other names 1

  • Kenneth Froessel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260518002873 AZ Practitioner - Clinical Social Worker 9739658873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Healthcare Group IncGroup PAC ID 3072411388, 21 clinicians

Practice addresses (Care Compare)

8 E Cottonwood St
BLDG a
Cottonwood, AZ 86326-6237
Phone (877) 634-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23643AZMDClinical Social Worker

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1487509154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863391466",
            "telephone_number": "928-300-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333",
            "fax_number": "866-984-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESSEL",
        "first_name": "KEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "FROESSEL",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.