Individual provider · Type 1 NPI

Roosevelt Travis Jr., L.C.S.W.

Clinical Social Worker · Seattle, WA

NPI number 1992847420 Active

Practice location

4800 Sand Point Way NE # W-3638
Seattle, WA 98105-3901

Mailing address

5310 221st Ave NE
Redmond, WA 98053-8249

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 10510 (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 1992847420

Roosevelt Travis Jr., L.C.S.W.'s National Provider Identifier is 1992847420, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.