Travis Nolan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRAVIS NOLAN

Practice address

2317 Blanding Blvd
Jacksonville, FL 32210-4194

Phone

(904) 294-7247

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Travis NolanNPI 1205448560

Title

Owner

Phone

(904) 294-7247

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Nolan, LCSW

  • Clinical Social Worker
  • Fleming Island, FL
  • NPI 1205448560
  NPD Authorized official

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1952281040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 CHIMNEY DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104194",
            "telephone_number": "904-294-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS NOLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-294-7247"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Trautman, MD
• Stefano Travaglini, M.D.
• Alejandro I Traveria, MD
• Paul M Travers, MD
• Carly Morgan Traversa
• Harrison James Travis, MD
• Robert F Travis Jr., D. C.
• Kelly Traylor
• Stanley Eugene Traylor III
• Catherine Leblanc Trcalek, RD, LD/N, CDE

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.