Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eileen Carol Travis, LCSW

Individual provider Clinical Social Worker · NPI 1114141009

Eileen Carol Travis, LCSW is a Clinical Social Worker in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

21704 Northern Blvd
Bayside, NY 11361-3500
Phone: (718) 423-7371
Fax: (212) 382-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R030727-1 (NY)

Record details

NPI number1114141009
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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