Individual provider Active NPI

Beverly Ruth Travis, LCSW

  • Clinical Social Worker
  • Belton, TX
National Provider Identifier
1881625317
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20156 Issued in TX
Practice address
114 E 6TH Ave
Belton, TX 76513-2651
Phone
(254) 421-3896
Fax
(254) 613-4381
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 20156 TX Primary

Addresses

Primary practice location

114 E 6TH Ave
Belton, TX 76513-2651

Mailing address

114 E 6TH Ave
Belton, TX 76513-2651
Phone (254) 421-3896

Other identifiers 1

IdentifierTypeStateIssuer
063886802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040115001014 TX Practitioner - Clinical Social Worker 7012818701 Practice locations: Belton, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 E 6TH Ave
Belton, TX 76513-2651
Phone (254) 421-3896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20156TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Driskill and Bates Psychology PA PastSince Jun 1, 2008 Accepting new patients
Integrative Behavioral Health and Consulting Clinical PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1881625317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132651",
            "telephone_number": "254-421-3896",
            "fax_number": "254-613-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132651",
            "telephone_number": "254-421-3896",
            "fax_number": "254-613-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "BEVERLY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063886802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.