Eileen Carol Travis, LCSW

Clinical Social Worker · Bayside, NY

Individual Active NPI

NPI number 1114141009

Practice location

21704 Northern Blvd
Bayside, NY 11361-3500
Phone
(718) 423-7371
Fax
(212) 382-6769

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NPI record

NPI
1114141009
Entity type
Individual (Type 1)
Enumeration date
April 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X R030727-1 NY

About Eileen Travis

Eileen Carol Travis, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 21704 Northern Blvd, Bayside, NY 11361-3500. The NPI number 1114141009 was assigned on April 12, 2007 and the record was last updated on July 8, 2007.

Eileen Travis lists a license in the registry: #R030727-1 (NY) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen Carol Travis, LCSW?

The NPI number is 1114141009.

What is the phone number of Eileen Travis?

The phone number listed for the practice location is (718) 423-7371.

Where is Eileen Travis located?

21704 Northern Blvd, Bayside, NY 11361-3500.

What is the taxonomy code for Eileen Travis?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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