Individual provider Active NPI

Tor Travis, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1720601990
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0057 Issued in NM
Practice address
1600 Lena St Ste C
Santa Fe, NM 87505-3891
Phone
(971) 261-8737
Fax
(505) 796-5112
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0057 NM Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1600 Lena St Ste C
Santa Fe, NM 87505-3891

Mailing address

132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941

Other practice location 1

132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941
Phone (971) 261-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811000001 NM Practitioner - Clinical Social Worker 1850753609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941
Phone (971) 261-8737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0057NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Counseling LLC CurrentSince Jun 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1720601990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARROYO HONDO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875085941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LENA ST STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053891",
            "telephone_number": "971-261-8737",
            "fax_number": "505-796-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Arroyo Hondo Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875085941",
            "country_code": "US",
            "telephone_number": "971-261-8737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "TOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0057",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.