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TRAVIS JAMAL BLAIR ACSW
NPI 1043762321
Social Worker - Clinical in Lake View Terrace, CA

Active since November 02, 2016
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342(818) 686-3000 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Dec 9, 2022, Nov 2, 2016 (3 updates tracked since 2016).

About Travis Jamal Blair Acsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS JAMAL BLAIR ACSW (NPI 1043762321) is an individual clinical provider in Lake View Terrace, California, licensed in California (122092) and active in the NPI registry since November 2016. He maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1043762321
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTRAVIS JAMAL BLAIRCredential: ACSW
Location Address11600 ELDRIDGE AVELake View Terrace, CA 91342-6506
Mailing Address11600 Eldridge AveLake View Terrace, CA 91342-6506 · (818) 686-3000
Phone(818) 686-3000
Sole ProprietorYes
Enumeration DateNovember 2, 2016
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1043762321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 122092
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11600 ELDRIDGE AVE, Lake View Terrace, CA 91342
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Secondary Practice Location 1

Location 114202 20th AveFlushing, NY 11351-3000 · Phone (718) 559-0555

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGH ANN MARIE GREENFIELD MFTI
Counselor (Mental Health)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
MICHAEL ANDREW TRUJILLO CADCII
Counselor (Addiction (Substance Use Disorder))
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3177
MR. PEDRAM MOSHFEGH MA
Marriage & Family Therapist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (310) 913-3292
ORLI BEHBOUDIKHA
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 686-3000
JOCELYNE NAOMI DEL CID
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 868-3000
DAISY BARRERA
Social Worker (Clinical)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
RENAE BARASSI
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (888) 671-9392
WENDY XIOMARA HERNANDEZ ORELLANA
Peer Specialist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (661) 361-6130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Blair's NPI number?

The NPI number for Travis Blair is 1043762321. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is Travis Blair located?

Travis Blair practices at 11600 Eldridge Ave, Lake View Terrace, CA 91342. The listed phone number is (818) 686-3000.

What is Travis Blair's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Travis Blair was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.