Individual provider Active NPI

Travis D Ritchie

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1730407859
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61534697 Issued in WA
Practice address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone
(801) 836-9163
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 LW61534697 WA Primary
Clinical Social Worker 1041C0700X 364759-3501 UT

Addresses

Primary practice location

100 N Howard St Ste W
Spokane, WA 99201-0508

Mailing address

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone (801) 373-4760

Other practice location 1

4460 Highland Dr
Salt Lake City, UT 84124-3543
Phone (801) 273-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241118001772 WA Practitioner - Clinical Social Worker 8123210796 Reassigns benefits to 2 organizations
I20251103001781 TX Practitioner - Clinical Social Worker 8123210796 Reassigns benefits to 3 organizations
I20260118000081 VA Practitioner - Clinical Social Worker 8123210796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

2323 S Voss Rd
Suite 203J
Houston, TX 77057-3814
Phone (240) 201-3386

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

708 Main St
FL 10
Houston, TX 77002-3246
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
364759-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical CurrentSince Oct 15, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 25, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 25, 2024 Accepting new patients
Sailor Health Medical PA Social Worker CurrentSince Oct 15, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Valley Behavioral Health Incorporated Clinical Past Accepting new patients
Valley Mental Health Incorporated Clinical Past Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

2323 S Voss Rd
Ste 203J
Houston, TX 77057

1210 E Cary St
Ste 3021
Richmond, VA 23219
Phone (240) 200-0173

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

Organizations & group practices 8

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1730407859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N FREEDOM BLVD STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011690",
            "telephone_number": "801-373-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "801-836-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841243543",
            "country_code": "US",
            "telephone_number": "801-273-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "TRAVIS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2024-06-21",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61534697",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "364759-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.