Individual provider · Type 1 NPI

Kimberly Travis, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1194017269 Active

Practice location

980 N Michigan Ave, Ste 1090 Pmb 344989
Chicago, IL 60611-4521

Call (866) 413-1988 Map

Fax (866) 628-8599

Mailing address

1101 Cumberland Xing # 108
Valparaiso, IN 46383-2356

Other practice locations

  • 1101 Cumberland Xing # 108, Valparaiso, IN 46383-2356 · (866) 413-1988

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006318A (IN)
Mental Health Counselor 101YM0800X149.014508 (IL)

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 1194017269

Kimberly Travis, LCSW's National Provider Identifier is 1194017269, issued on May 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 27, 2026.