Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK S TRAVIS, LMSW
Active Sole ProprietorMR. JACK S TRAVIS, LMSW is a Clinical Social Worker healthcare provider located in SAYVILLE, New York. NPI 1740464106 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAYVILLE, NY
Registration Details
- NPI Number
- 1740464106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2007 (18.468075449388 yrs)
- Last Updated
- Jun 11, 2011
- License
-
076632 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 SAXTON AVESAYVILLE, NY, 117822610Browse NY providers · Browse ZIP 11782
- Phone
- 6319872751
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAYVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. LYNN CHERYL SCHAEFER | LCSW | 1750317202 |
| DR. NANCY J WESTGATE | DSW | 1851402101 |
| MRS. LUANN QUACKENBUSH | LCSW | 1154421741 |
| MRS. KATHERINE LAFEMINA | LCSW | 1225138886 |
| MR. SAL LAFEMINA | LCSW | 1942383625 |
| CHRISTOPHER PROBEYAHN | LCSW-R | 1629117502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.