Roosevelt Travis in Redmond - Clinical

Roosevelt Travis - NPI 1992847420

Roosevelt Travis is a Clinical in Redmond, Washington. Roosevelt Travis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roosevelt Travis is 1992847420. The last update date is 2007-07-08.

Roosevelt Travis's current location address is 5310 221st Ave Ne, Redmond, Washington. You can contact this provider via phone number 4258364179. The mailing address for Roosevelt Travis is 5310 221st Ave Ne, Redmond, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Roosevelt Travis
Address 5310 221st Ave Ne, Redmond, Washington
Phone Number 4258364179
Fax Number
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1992847420
Provider Enumeration Date 2007-02-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5310 221st Ave Ne
City Redmond
State Washington (WA)
Post Code 980538249
Phone Number 4258364179
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 10510
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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FAQs about Roosevelt Travis

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

The Roosevelt Travis has been issued the NPI (National Provider Identifier) 1992847420, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Roosevelt Travis's physical address?

The Roosevelt Travis is physically located at 5310 221St Ave Ne, in the city of Redmond, WA, with the postal code 980538249.

What is Roosevelt Travis's area of expertise and its corresponding taxonomy classification?

The Roosevelt Travis's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Roosevelt Travis receive the assignment of its 1992847420 from the Centers for Medicare & Medicaid Services?

The Roosevelt Travis was issued its 1992847420 by the Centers for Medicare & Medicaid Services on 2007-02-12.

When was the Roosevelt Travis's information last updated?

The Roosevelt Travis's information was last updated on 2007-07-08.

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