Travis Edward Knowlton, LCSW is a
Social Worker - Clinical based in San Diego, California. Travis Edward Knowlton is licensed to practice in California (license number 118269) and his current practice location is
4849 Ronson Ct Ste 207, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(844) 737-3638.
NPI number for Travis Edward Knowlton is 1275186512 and his current mailing address is 104 Rosewood Dr, La Vernia, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275186512.
Healthcare Provider's Profile
| Full Name | Travis Edward Knowlton |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4849 Ronson Ct Ste 207, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275186512
- Provider Enumeration Date: 07/16/2019
- Last Update Date: 01/08/2024
Medical Identifiers
Medical identifiers for Travis Edward Knowlton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275186512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 844882599 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 87984 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 118269 (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 Edward Knowlton 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 Edward Knowlton, LCSW
104 Rosewood Dr,
La Vernia, TX 78121-4756
Ph: (760) 859-7699 | Travis Edward Knowlton, LCSW
4849 Ronson Ct Ste 207,
San Diego, CA 92111-1805
Ph: (844) 737-3638 |
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