Travis Benjamin Atchison, LCSW
Individual provider Active NPI Clinical Social Worker · Pinellas Park, FL
NPI 1124628169 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1124628169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW17989 (FL)
- Practice address
- 3941 68TH Ave N
Pinellas Park, FL 33781-6136 - Phone
- (277) 657-7761
- Fax
- (727) 865-5178
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230106002740 | FL | Practitioner - Clinical Social Worker | 4385014315 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Quality BHS Florida, LLC | Clinical | Current |
Accepting new patients |
| Patchison LLC | Clinical | Current |
Accepting new patients |
Locations
4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435
5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299
12360 66th St
Largo, FL 33773
Phone (727) 417-2812
1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777
3865 Tampa Rd
Oldsmar, FL 34677
Phone (516) 680-8080
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
100 2nd Ave N
Ste 320
St Petersburg, FL 33701
Phone (727) 564-9955
2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | SW17989 | FL | Yes |
Addresses
Primary practice location
3941 68TH Ave N
Pinellas Park, FL 33781-6136
Mailing address
3941 68TH Ave N
Pinellas Park, FL 33781-6136
Phone (277) 657-7761
Other providers in Pinellas Park, FL
- Arlington Garden, LLC
- Kaitlyn Arnold
- Reynaldo E Arrieta
- Briana Asmar
- Assuranurse LLC
- Cheryl Atkinson
- Avica, LLC
- Ba-R3L LLC
- Cheryllyn Ann Bachelor
- Back Braces Plus, Inc
All providers in Pinellas Park, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.