Active NPI
Glenda G Trochmann, LICSW
- Clinical Social Worker
- Fargo, ND
National Provider Identifier
1811083173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2664
- Practice address
- 3911 20TH Ave S
Fargo, ND 58103-4705 - Phone
- (800) 985-7942
- Fax
- (701) 235-7359
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2664 | ND | Primary |
Addresses
Primary practice location
3911 20TH Ave S
Fargo, ND 58103-4705
Mailing address
3242 4TH Avenue North
Moorhead, MN 56560
Phone (218) 303-1896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1811083173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3242 4TH AVENUE NORTH",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "218-303-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 20TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034705",
"telephone_number": "800-985-7942",
"fax_number": "701-235-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROCHMANN",
"first_name": "GLENDA",
"middle_name": "G",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "2664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.