MEDICARE: KATHERINE ANNE TRAVERS MSW, LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11785	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780897397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANNE TRAVERS MSW, LCSW-C

Provider Business Mailing Address
First Line	:	7129 STATION HOUSE RD
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6837
Country	:	US
Telephone Number	:	443-562-6955
Fax Number	:

Provider Business Practice Location Address
First Line	:	7050 OAKLAND MILLS RD
Second Line	:	SUITE 140
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2193
Country	:	US
Telephone Number	:	443-325-0360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	06/06/2024

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