IndividualActive
Jack Travis, LMSW
NPI 1740464106 · Clinical Social Worker · Sayville, NY
Jack Travis, LMSW is a Clinical Social Worker provider in Sayville, NY (NPI 1740464106).
Provider details
- NPI number
- 1740464106
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 076632 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
80 Saxton Ave
Sayville, NY 11782-2610
Phone: (631) 987-2751
Street-level locationGet directions
Mailing address
208 Medea Way
Central Islip, NY 11722-4540
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2011-06-11
Frequently asked questions
- What is Jack Travis's NPI number?
- Jack Travis's National Provider Identifier (NPI) is 1740464106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Travis's specialty?
- Jack Travis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jack Travis located?
- Jack Travis's practice location on file with NPPES is 80 Saxton Ave, Sayville, NY 11782-2610.
- What is Jack Travis's phone number?
- The practice phone number listed in the NPPES registry for Jack Travis is (631) 987-2751.
- Is Jack Travis's NPI active?
- Yes — Jack Travis's NPI (1740464106) is active in the NPPES registry as of the last update on 2011-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.