Individual provider · Type 1 NPI

Kerry Traviss, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1730232380 Active

Practice location

3019 Coit Ave NE
Grand Rapids, MI 49505-3376

Call (616) 365-9575 Map

Fax (616) 365-9471

Mailing address

2145 Chesaning Dr SE
Grand Rapids, MI 49506-5310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801077343 (MI)

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 1730232380

Kerry Traviss, LMSW's National Provider Identifier is 1730232380, issued on Jan 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.