TRAVIS DALE WORWOOD


Address: South Entrance, 1075 E. Park Blvd, Boise, ID 83712
Phone: 2083815970

TRAVIS DALE WORWOOD (NPI# 1053898247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053898247
Entity Type Individual
Full Name TRAVIS DALE WORWOOD
Credential LCSW
Practice Address South Entrance
1075 E. Park Blvd
Boise
ID 83712
Mailing Address 11233 W Springgold Dr
Boise
ID 83709-6392
Practice Telephone 2083815970
Mailing Telephone 2084405854
Enumeration Date 2018-07-20
Last Update Date 2018-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW-37080 ID Behavioral Health & Social Service Providers

Office Location

Street Address SOUTH ENTRANCE
1075 E. PARK BLVD
City BOISE
State ID
Zip Code 83712

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1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
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1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
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1508290115 Tina Johnson Social Worker 190 E. Bannock, Boise, ID 83712 2013-08-30
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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1013533231 Sylvia Oh Social Worker 2118 S Latah St, Boise, ID 83705-3947 2020-06-23
1417577412 Stacey Titus Pllc Social Worker 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 2020-04-20
1447888656 Berndt and Associates In Psychcare LLC Social Worker 4477 W Emerald St Ste C275, Boise, ID 83706-2078 2020-04-01
1528690773 Marc Adrian Dominguez Social Worker 1299 N Orchard St Ste 110, Boise, ID 83706-2266 2020-02-06
1235774407 Wildflower Intuitive Center, LLC Social Worker 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 2019-11-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1821550203 Alturas Counseling Social Worker 204 S Cole Rd, Boise, ID 83709-0934 2019-04-03
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Competitor

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City BOISE
Zip Code 83712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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