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 |
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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 |
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Provider Enumeration Date | 2007-02-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5310 221st Ave Ne |
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City | Redmond |
State | Washington (WA) |
Post Code | 980538249 |
Phone Number | 4258364179 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.