Traviss Family Counseling in Santa Rosa - Clinical
Traviss Family Counseling - NPI 1215087697
Traviss Family Counseling is a Clinical in Santa Rosa, California. Traviss Family Counseling practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traviss Family Counseling is 1215087697. The last update date is 2020-08-22.
Traviss Family Counseling's current location address is 1825 San Ramon Way, Santa Rosa, California. You can contact this provider via phone number 7075262595 and fax number 7075396809. The mailing address for Traviss Family Counseling is 1825 San Ramon Way, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Traviss Family Counseling |
|---|---|
| Address | 1825 San Ramon Way, Santa Rosa, California |
| Phone Number | 7075262595 |
| Fax Number | 7075396809 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Traviss A Patrick |
| Credentials | LCSW |
| Telephone Number | 7075262595 |
NPI Number Detail
| NPI Number | 1215087697 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1825 San Ramon Way |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954093967 |
| Phone Number | 7075262595 |
| Fax Number | 7075396809 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS4035 & LC |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Traviss Family Counseling by the Centers for Medicare & Medicaid Services?
The Traviss Family Counseling has been assigned the NPI (National Provider Identifier) 1215087697 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Traviss Family Counseling is geographically located?
The Traviss Family Counseling is physically situated at the following location: 1825 San Ramon Way, Santa Rosa, CA, 954093967.
What is the area of specialization for Traviss Family Counseling, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Traviss Family Counseling is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Traviss Family Counseling's 1215087697 issued?
The Traviss Family Counseling's 1215087697 was issued on 2007-01-10.
As of what date was the information pertaining to Traviss Family Counseling, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Traviss Family Counseling, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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