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NPI Code Detail

MEDICARE: KEN FROESSEL LCSW

MEDICARE: KEN FROESSEL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-23643AZ

General Provider Information

NPI Number : 1487509154
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEN FROESSEL LCSW
Provider Business Mailing Address
First Line : PO BOX 1466
Second Line :
City : SEDONA
State : AZ
Zip : 86339-1466
Country : US
Telephone Number : 928-300-1658
Fax Number :
Provider Business Practice Location Address
First Line : 8 E COTTONWOOD ST
Second Line :
City : COTTONWOOD
State : AZ
Zip : 86326-4382
Country : US
Telephone Number : 877-634-7333
Fax Number : 866-984-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 05/19/2026

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Directions to “ KEN FROESSEL LCSW” Practice Location

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