Individual provider · Type 1 NPI

Vella Mae Travis, CSW

Clinical Social Worker · Bowling Green, KY

NPI number 1013793165 Active

Practice location

501 Chestnut St
Bowling Green, KY 42101-1737

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW00001212 (KY)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013793165

Vella Mae Travis, CSW's National Provider Identifier is 1013793165, issued on Sep 5, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, KY. The record was last updated on Jan 15, 2026.