Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack S Travis, LMSW

Individual provider Clinical Social Worker · NPI 1740464106

Mr. Jack S Travis, LMSW is a Clinical Social Worker in Sayville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

80 Saxton Ave
Sayville, NY 11782-2610
Phone: (631) 987-2751
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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 076632 (NY)

Record details

NPI number1740464106
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedDecember 20, 2007
Last updated in NPPESJune 11, 2011

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