Eileen Carol Travis in Bayside - Clinical
Eileen Carol Travis - NPI 1114141009
Eileen Carol Travis is a Clinical in Bayside, New York. Eileen Carol Travis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eileen Carol Travis is 1114141009. The last update date is 2007-07-08.
Eileen Carol Travis's current location address is 21704 Northern Blvd, Bayside, New York. You can contact this provider via phone number 7184237371 and fax number 2123826769. The mailing address for Eileen Carol Travis is 21704 Northern Blvd, Bayside, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Carol Travis |
|---|---|
| Address | 21704 Northern Blvd, Bayside, New York |
| Phone Number | 7184237371 |
| Fax Number | 2123826769 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114141009 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21704 Northern Blvd |
|---|---|
| City | Bayside |
| State | New York (NY) |
| Post Code | 113613500 |
| Phone Number | 7184237371 |
| Fax Number | 2123826769 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R030727-1 |
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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 identifier code issued to Eileen Carol Travis by the Centers for Medicare & Medicaid Services (CMS)?
The Eileen Carol Travis has been assigned the NPI (National Provider Identifier) 1114141009. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Eileen Carol Travis is geographically located?
The Eileen Carol Travis is physically situated at the following location: 21704 Northern Blvd, Bayside, NY, 113613500.
What is the area of specialization for Eileen Carol Travis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eileen Carol Travis is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1114141009 assigned to Eileen Carol Travis?
The Eileen Carol Travis was issued its 1114141009 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Eileen Carol Travis's details last updated?
The information pertaining to the Eileen Carol Travis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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