TRAVIS STEVENS (NPI# 1679935720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679935720 |
| Entity Type | Individual |
| Full Name | TRAVIS STEVENS |
| Credential | LCSW |
| Practice Address |
280 1st St Holloman Afb NM 88330-8273 |
| Practice Telephone | 5755725676 |
| Practice Fax Number | 5755721523 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
54370 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710494497 | Travis James Stevens | Nurse Practitioner | 901 Kenton Station Dr, Maysville, KY 41056-9609 | 2018-01-04 |
| Street Address |
280 1ST ST |
| City | HOLLOMAN AFB |
| State | NM |
| Zip Code | 88330-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581056 | Peter Balogh | Dentist | 280 1st St, Holloman Afb, NM 88330-8273 | 2006-01-09 |
| 1629682034 | Danielle Moore | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1639783053 | Ericka Renee Smith | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1316420235 | Matthew Lawrence | Physician Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2018-09-07 |
| 1972042331 | Erik Steidley | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88310 | 2017-02-17 |
| 1811435613 | Ashly Marie Pezel | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2017-02-01 |
| 1003265299 | Anne Christine Rivera | Dietitian, Registered | 280 1st St, 49mdg/sgpz, Holloman Afb, NM 88330-8273 | 2016-06-08 |
| 1124497623 | Samuel Henry Patton | Counselor | 280 1st St, 49 Medical Group, Holloman Afb, NM 88330-8273 | 2015-09-15 |
| 1144600016 | James Andrew Carroll | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2015-06-04 |
| 1508100207 | Jana Joel Mcburney | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88330-8273 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312084 | Zachary James Smith | Pharmacist | 49th Medical Group 280 First Street, Holloman Afb, NM 88330 | 2019-08-20 |
| 1346776804 | Maxilea Isom | Behavior Technician | 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 | 2017-05-03 |
| 1932558665 | Courtney Davis | Day Training/Habilitation Specialist | 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 | 2016-06-03 |
| 1568849255 | Ryan Abner | Registered Nurse | 49th Medical Building 17, Holloman Afb, NM 88330 | 2015-05-01 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1568606317 | Kimberly Dawn Jensen | Internal Medicine | 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 | 2009-04-23 |
| 1700042306 | Bettina Watkins | Family Medicine | 280 First St, Bldg 23, Holloman Afb, NM 88330 | 2008-08-03 |
| Find all providers in zip 88330 | ||||
| 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 |
|---|---|---|---|---|
| 1104462092 | Amber D Clayton | Social Worker | 280 1st St # St23, Holloman Afb, NM 88330-8273 | 2019-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1578658696 | Virginia Marie Mckinley | Social Worker | 49 Mdos/sgoh, 200 First Street, Holloman Afb, NM 88330 | 2006-10-04 |
| 1356898613 | Angelita Baker | Social Worker | 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2016-09-04 |
| 1376896183 | Derandoria Ann Young | Social Worker | 280 1st St, Bldg 17, Holloman Afb, NM 88330-8273 | 2012-10-17 |
| 1609949742 | Crystal Venice Mcleod | Social Worker | 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1326646944 | Mosaic Counseling Services | Social Worker | 6501 4th St Nw Ste H, Los Ranchos, NM 87107-5800 | 2020-10-15 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1982219002 | Zanessa D. Kastler | Social Worker | 1462 Cran, Melrose, NM 88124 | 2020-09-15 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1154936573 | Linda M Oberle | Social Worker | 4648 Callejon Urraca, Santa Fe, NM 87507-4507 | 2020-09-11 |
| 1114538337 | Healthy Haven Counseling & Consulting Services, LLC | Social Worker | 2905 N Prince St Ste H, Clovis, NM 88101-3843 | 2020-08-11 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | HOLLOMAN AFB |
| Zip Code | 88330 |
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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.