Active NPI
Travis James Courville, MSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1245443589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00167
- Practice address
- 4101 Greenbriar St
Suite 317
Houston, TX 77098-5294 - Phone
- (281) 437-2587
- Fax
- (281) 437-2587
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00167 | TX | Primary |
Addresses
Primary practice location
4101 Greenbriar St
Suite 317
Houston, TX 77098-5294
Mailing address
3810 W Valley Dr
Missouri City, TX 77459-4310
Phone (281) 437-2587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00167 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245443589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 W VALLEY DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594310",
"telephone_number": "281-437-2587",
"fax_number": "281-437-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 GREENBRIAR ST",
"address_2": "SUITE 317",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770985294",
"telephone_number": "281-437-2587",
"fax_number": "281-437-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURVILLE",
"first_name": "TRAVIS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "00167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.