Active NPI
Building Bridges Family Therapy, LTD.
- Clinical Social Worker
- Springfield, IL
National Provider Identifier
1518464569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BUILDING BRIDGES FAMILY THERAPY, LTD.
- Practice address
- 3805 NW Territory Dr
Springfield, IL 62711-8241 - Phone
- (217) 370-9866
- NPI assigned
- Apr 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela F Trowbridge, LCSW
- Title
- Owner
- Phone
- (217) 370-9866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3805 NW Territory Dr
Springfield, IL 62711-8241
Mailing address
3805 NW Territory Dr
Springfield, IL 62711-8241
Phone (217) 370-9866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/26408/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Springfield, IL
- NPI 1326466996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574208000000",
"number": "1518464569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 NW TERRITORY DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118241",
"telephone_number": "217-370-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 NW TERRITORY DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118241",
"telephone_number": "217-370-9866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUILDING BRIDGES FAMILY THERAPY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-06",
"last_updated": "2019-11-20",
"status": "A",
"authorized_official_last_name": "TROWBRIDGE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-370-9866",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.