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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: August 09, 2026.

About Travis Nathan Tennant Llmsw NPPES

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

TRAVIS NATHAN TENNANT LLMSW (NPI 1215724463) is an individual clinical provider in Portage, Michigan, licensed in Michigan (6851118402) and active in the NPI registry since April 2025. He maintains a secondary practice location in Hickory Corners.

NPPES Registry Identity

NPI1215724463
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTRAVIS NATHAN TENNANTCredential: LLMSW
Location Address5900 PORTAGE RD STE APortage, MI 49002-1774
Mailing Address1933 Southern AveKalamazoo, MI 49001-4534 · (269) 348-2579
Phone(269) 319-3110
Fax(269) 319-3110
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1215724463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851118402
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 ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 6851118402 (MI)
5900 PORTAGE RD STE A, Portage, MI 49002
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Secondary Practice Location 1

Location 19594 N 40th StHickory Corners, MI 49060-9327 · Phone (269) 548-3800

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 Tennant's NPI number?

The NPI number for Travis Tennant is 1215724463. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Travis Tennant located?

Travis Tennant practices at 5900 Portage Rd Ste A, Portage, MI 49002. The listed phone number is (269) 319-3110.

What is Travis Tennant'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 Tennant was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.