MR. JACK S TRAVIS LMSW
NPI 1740464106
Social Worker - Clinical in Sayville, NY

Active since December 20, 2007
80 SAXTON AVE, SAYVILLE, NY 11782(631) 987-2751 Get Directions Write a Review

NPPES record last updated: June 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack S Travis Lmsw NPPES

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

MR. JACK S TRAVIS LMSW (NPI 1740464106) is an individual clinical provider in Sayville, New York, licensed in New York (076632) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1740464106
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK S TRAVISCredential: LMSW
Location Address80 SAXTON AVESayville, NY 11782-2610
Mailing Address208 Medea WayCentral Islip, NY 11722-4540 · (631) 987-2751
Sole ProprietorYes
Enumeration DateDecember 20, 2007
Last NPPES UpdateJune 11, 2011
NPI 1740464106 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 · 076632
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.
80 SAXTON AVE, Sayville, NY 11782

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 Jack Travis's NPI number?

The NPI number for Jack Travis is 1740464106. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Jack Travis located?

Jack Travis practices at 80 Saxton Ave, Sayville, NY 11782. The listed phone number is (631) 987-2751.

What is Jack 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 Jack Travis was last updated on June 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.