MEDICARE: TRAVIS EDWARD KNOWLTON LCSW

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	101YM0800X	Mental Health Counselor	844882599	CA
2	1041C0700X	Clinical Social Worker	118269	TX
3	1041C0700X	Clinical Social Worker	87984	CA
4	1041C0700X	Clinical Social Worker	118269	CA

General Provider Information

NPI Number	:	1275186512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS EDWARD KNOWLTON LCSW

Provider Business Mailing Address
First Line	:	104 ROSEWOOD DR
Second Line	:
City	:	LA VERNIA
State	:	TX
Zip	:	78121-4756
Country	:	US
Telephone Number	:	760-859-7699
Fax Number	:

Provider Business Practice Location Address
First Line	:	4849 RONSON CT STE 207
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1805
Country	:	US
Telephone Number	:	844-737-3638
Fax Number	:	619-403-9496

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

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	03/23/2026

Similar Medicare Providers

1356384481 — DR. CHRISTOPHER MICHAEL HUNT M.D.
Practice Location Address:

4849 RONSON CT , STE 217
SAN DIEGO, CA
92111-1805

Practice Phone: 858-279-1212
Practice Fax: 858-279-1420

1952484313 — DR. ELAINE BORSETH DC
Practice Location Address:

4849 RONSON CT , #100
SAN DIEGO, CA
92111-1805

Practice Phone: 858-576-8181
Practice Fax:

1790085900 — BORSETH CHIROPRACTIC CENTER, INC.
Practice Location Address:

4849 RONSON COURT , SUITE 100
SAN DIEGO, CA
92111-1805

Practice Phone: 858-576-8181
Practice Fax:

1992096945 — BORSETH CHIROPRACTIC
Practice Location Address:

4849 RONSON CT , #100
SAN DIEGO, CA
92111-1805

Practice Phone: 858-576-8181
Practice Fax: 858-576-8184

1922377712 — DR. SIKANDER BAINS M.D.
Practice Location Address:

4849 RONSON CT , STE 217
SAN DIEGO, CA
92111-1805

Practice Phone: 619-992-5330
Practice Fax: 858-759-8942

1548530207 — LINDSEY COWHERD L.AC.
Practice Location Address:

4849 RONSON CT STE 100
SAN DIEGO, CA
92111-1805

Practice Phone: 719-207-0853
Practice Fax:

Directions to “ TRAVIS EDWARD KNOWLTON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.