Individual provider Active NPI

Travis James Cohen

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1699359505
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW15679 Issued in FL
Practice address
2300 N Florida Mango Rd
West Palm Beach, FL 33409-6416
Phone
(561) 296-4887
Fax
(561) 472-9939
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW15679 FL Primary

Addresses

Primary practice location

2300 N Florida Mango Rd
West Palm Beach, FL 33409-6416

Mailing address

296 NW 46TH St
Miami, FL 33127-2667
Phone (786) 218-7002

Other practice location 1

296 NW 46th St
Miami, FL 33127-2667
Phone (786) 218-7002

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

LicenseStateTypeSpecialty
ISW15679FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1699359505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 NW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272667",
            "telephone_number": "786-218-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N FLORIDA MANGO RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096416",
            "telephone_number": "561-296-4887",
            "fax_number": "561-472-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 NW 46th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331272667",
            "country_code": "US",
            "telephone_number": "786-218-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW15679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.