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

Travis Jamal Blair, ACSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043762321

Travis Jamal Blair, ACSW is an Addiction (Substance Use Disorder) Counselor in Lake View Terrace, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone: (818) 686-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14202 20th Ave, Flushing, NY 11351-3000 — (718) 559-0555

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122092 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043762321
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW
Sole proprietorYes
NPI enumeratedNovember 2, 2016
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Other providers in Lake View Terrace