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EILEEN CAROL TRAVIS LCSW
NPI 1114141009
Social Worker - Clinical in Bayside, NY

Active since April 12, 2007
21704 NORTHERN BLVD, BAYSIDE, NY 11361(718) 423-7371(212) 382-6769 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eileen Carol Travis Lcsw NPPES

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

EILEEN CAROL TRAVIS LCSW (NPI 1114141009) is an individual clinical provider in Bayside, New York, licensed in New York (R030727-1) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1114141009
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEILEEN CAROL TRAVISCredential: LCSW
Location Address21704 NORTHERN BLVDBayside, NY 11361-3500
Mailing Address21704 Northern BlvdBayside, NY 11361-3500 · (718) 423-7371 · Fax (212) 382-6769
Phone(718) 423-7371
Fax(212) 382-6769
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114141009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R030727-1
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.
21704 NORTHERN BLVD, Bayside, NY 11361
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Other Providers at the Same Location NPPES 2

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

MS. BETH LAZARUS LCSW
Social Worker (Clinical)
21704 NORTHERN BLVD, SUITE 29
BAYSIDE, NY 11361
Queens County (718) 423-7371
S J PAHNG MD PC
Clinic/Center (Rehabilitation)
21704 NORTHERN BLVD, SUITE 2
BAYSIDE, NY 11361
Queens County (718) 353-6835

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 Eileen Travis's NPI number?

The NPI number for Eileen Travis is 1114141009. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Eileen Travis located?

Eileen Travis practices at 21704 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 423-7371.

What is Eileen Travis'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 Eileen Travis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.