Andrea S Travis-Ward in Princess Anne - Clinical

Andrea S Travis-Ward - NPI 1811973506

Andrea S Travis-Ward is a Clinical in Princess Anne, Maryland. Andrea S Travis-Ward practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea S Travis-Ward is 1811973506. The last update date is 2011-04-13.

Andrea S Travis-Ward's current location address is 11559 Somerset Ave, Princess Anne, Maryland. You can contact this provider via phone number 4106514200 and fax number 4106514290. The mailing address for Andrea S Travis-Ward is 11559 Somerset Ave, Princess Anne, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea S Travis-Ward
Address 11559 Somerset Ave, Princess Anne, Maryland
Phone Number 4106514200
Fax Number 4106514290
Sole Proprietor N
Credentials LCSW-C

NPI Number Detail

NPI Number 1811973506
Provider Enumeration Date 2005-12-15
Last Updated Date 2011-04-13

Provider Mailing Address Detail

Address 11559 Somerset Ave
City Princess Anne
State Maryland (MD)
Post Code 218531022
Phone Number 4106514200
Fax Number 4106514290

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 16822
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
522156095 MD APS HEALTHCARE
522156095 MD MHNET BEHAVIORAL HEALTH
609550002 MD --
609550001 MD --
522156095 MD COMMERCIAL
609550004 MD --
LM49EA MD CAREFIRST BCBS - LOCAL
R968 MD CAREFIRST BCBS - FEDERAL

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FAQs about Andrea S Travis-Ward

What is the unique 10-digit identification code assigned to Andrea S Travis-Ward by the Centers for Medicare & Medicaid Services?

The Andrea S Travis-Ward has been issued the NPI (National Provider Identifier) 1811973506, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Andrea S Travis-Ward's facilities are situated?

The facilities of Andrea S Travis-Ward are physically located at the following address: 11559 Somerset Ave, Princess Anne, MD, 218531022.

What is Andrea S Travis-Ward's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrea S Travis-Ward's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Andrea S Travis-Ward receive the assignment of its 1811973506 from the Centers for Medicare & Medicaid Services?

The Andrea S Travis-Ward was issued its 1811973506 by the Centers for Medicare & Medicaid Services on 2005-12-15.

When was the information related to Andrea S Travis-Ward most recently updated or refreshed?

The details pertaining to the Andrea S Travis-Ward, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-13.

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