Individual provider · Type 1 NPI

Patrick A. Traviss, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1073660973 Active

Practice location

2455 Bennett Valley Rd, Suite 208B
Santa Rosa, CA 95404-5663

Call (707) 526-2595 Map

Fax (707) 539-6809

Mailing address

1825 San Ramon Way
Santa Rosa, CA 95409-3967

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 4035 (CA)

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 1073660973

Patrick A. Traviss, LCSW's National Provider Identifier is 1073660973, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 9, 2007.