TRAVIS NATHAN TENNANT LLMSW
NPI 1215724463
Social Worker - Clinical in Portage, MI

Active since April 22, 2025
5900 PORTAGE RD STE A, PORTAGE, MI 49002(269) 319-3110(269) 319-3110 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Social Worker
  • Clinical

About TRAVIS TENNANT

This page provides the complete NPI Profile along with additional information for Travis Tennant, a provider established in Portage, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215724463 assigned on April 2025. The practitioner's primary taxonomy code is 1041C0700X with license number 6851118402 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1215724463 Verify this NPI
Provider Name
TRAVIS NATHAN TENNANT LLMSW
Gender
Male
Entity Type
Individual
Location Address
5900 PORTAGE RD STE A PORTAGE, MI 49002
Location Phone
(269) 319-3110
Location Fax
(269) 319-3110
Mailing Address
1933 SOUTHERN AVE KALAMAZOO, MI 49001
Mailing Phone
(269) 348-2579
Is Sole Proprietor?
No
Enumeration Date
04-22-2025
Last Update Date
11-03-2025
Code Navigator

A clinical social worker like Travis Tennant is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

  • 9594 N 40th St
    Hickory Corners, MI 49060
    (269) 548-3800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
6851118402
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041S0200XBehavioral Health & Social Service Providers

Social Worker
School

6851118402 (MI)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215724463, enumerated as an "individual" on April 22, 2025.

The provider is located at 5900 PORTAGE RD STE A PORTAGE, MI 49002 and the phone number is (269) 319-3110.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.