Healthcare Provider Details

I. General information

NPI: 1063042133
Provider Name (Legal Business Name): FRANCES R TROWBRIDGE LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCES R JORDAHL LCSW, CSAC

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 DERONDA ST
AMERY WI
54001-1412
US

IV. Provider business mailing address

PO BOX 860912
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 715-268-8000
  • Fax:
Mailing address:
  • Phone: 715-838-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8940-123
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15864-132
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: