Individual provider · Type 1 NPI

Peter John Travisano, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1225952369 Active

Practice location

1015 Dorsey Ln
Louisville, KY 40223-2612

Call (502) 245-1576 Map

Fax (502) 245-2550

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW00001737 (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 1225952369

Peter John Travisano, LCSW's National Provider Identifier is 1225952369, issued on Aug 10, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Aug 10, 2026.