Travis Jamal Blair, ACSW is a
Social Worker - Clinical based in Lake View Terrace, California. Travis Jamal Blair is licensed to practice in California (license number 122092) and his current practice location is
11600 Eldridge Ave, Lake View Terrace, California. He can be reached at his office (for appointments etc.) via phone at
(818) 686-3000.
NPI number for Travis Jamal Blair is 1043762321 and his current mailing address is 11600 Eldridge Ave, Lake View Terrace, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043762321.
Healthcare Provider's Profile
Full Name | Travis Jamal Blair |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 11600 Eldridge Ave, Lake View Terrace, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043762321
- Provider Enumeration Date: 11/02/2016
- Last Update Date: 04/22/2024
Medical Identifiers
Medical identifiers for Travis Jamal Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043762321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 122092 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Jamal Blair is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Travis Jamal Blair, ACSW 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 Ph: (818) 686-3000 | Travis Jamal Blair, ACSW 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 Ph: (818) 686-3000 |
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