TRAVIS FORD (NPI# 1124687678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124687678 |
| Entity Type | Individual |
| Full Name | TRAVIS FORD |
| Credential | LCSW |
| Practice Address |
611 Mcdowell Ave Nw Roanoke VA 24016-1225 |
| Mailing Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Practice Telephone | 5402669200 |
| Practice Fax Number | 5402669205 |
| Mailing Telephone | 5402669200 |
| Mailing Fax Number | 5402669205 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904010949 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706583 | Travis Andrew Ford | Physician Assistant | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2020-03-23 |
| Street Address |
611 MCDOWELL AVE NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366413478 | Rebecca Gail Lee | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2006-01-27 |
| 1447869052 | Tara Wu | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2020-07-29 |
| 1245853639 | Rebecca Montgomery Arnold | Pharmacist | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2020-05-20 |
| 1043843881 | Brandon Saunders Hairston | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2020-02-20 |
| 1659919769 | Elizabeth Ferron | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-12-19 |
| 1912541244 | Cecelia Anna Venzie Reed | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-10-30 |
| 1588207963 | Tonita Lowery | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-10-18 |
| 1689224271 | Lindsay Nicole Robertson | Social Worker | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-09-16 |
| 1346701158 | Karen Leigh Burroughs | Social Worker | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2019-03-26 |
| 1780153296 | Christi Denise Combs | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911950 | Cynthia Richards | Social Worker | 2602 Cannaday Rd Ne, Roanoke, VA 24012-6208 | 2020-08-04 |
| 1083274336 | Deanna Bibby | Social Worker | 2502 Broadway Ave Sw Uppr Level, Roanoke, VA 24014-1663 | 2019-06-18 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1730672239 | Stephanie Ann Goodbar | Social Worker | 3536 Brambleton Ave Ste 3, Roanoke, VA 24018-6500 | 2018-06-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1992234017 | Christie Reid Mcintosh-svirsky | Social Worker | 6107 Renoir Ln, Roanoke, VA 24018-5298 | 2017-06-12 |
| 1255860458 | Angela N Mitchell | Social Worker | 5215 Starkey Rd, Roanoke, VA 24018-9359 | 2017-06-09 |
| 1730623810 | Sheri O Story | Social Worker | 2151 Berkley Ave Sw, Apt 2, Roanoke, VA 24015-2007 | 2016-12-08 |
| 1447702063 | Rebecca Kaye Sullivan | Social Worker | 1315 2nd St Sw Ste 203, Roanoke, VA 24016-4935 | 2016-10-31 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| Find all providers in ROANOKE | ||||
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| 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.