Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Powell Travis, LISW, LICDC

Individual provider Clinical Social Worker · NPI 1164614905

Mr. Andrew Powell Travis, LISW, LICDC is a Clinical Social Worker in Columbus, Ohio. Qualified in 2002, 24 years ago. Practices with Optum Behavioral Care of Ohio Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1791 Alum Creek Dr
Columbus, OH 43207-1708
Phone: (614) 445-8131
Fax: (614) 324-5456
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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 I10062 (OH)

Record details

NPI number1164614905
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , LICDC
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESAugust 15, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Optum Behavioral Care Of Ohio Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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