Individual provider · Type 1 NPI
Jack S. Travis, LMSW
Clinical Social Worker · Sayville, NY
Practice location
80 Saxton Ave
Sayville, NY 11782-2610
Mailing address
208 Medea Way
Central Islip, NY 11722-4540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 076632 (NY) |
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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- Judith A. Johnsen, MSWClinical Social Worker Sayville, NY NPI 1114197134
- Kimberly Hession, LCSWClinical Social Worker Sayville, NY NPI 1134346059
- Emily Waters, LMSW, MPAClinical Social Worker Sayville, NY NPI 1134675259
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About NPI 1740464106
Jack S. Travis, LMSW's National Provider Identifier is 1740464106, issued on Dec 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sayville, NY. The record was last updated on Jun 11, 2011.