Travis-Ward, Andrea S

Travis-Ward, Andrea S is an individual health care provider with primary practice located at 11559 Somerset Ave , Princess Anne MD 21853-1022. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Travis-Ward, Andrea S can be contacted via phone (410) 651-4200.

Contact Information

Primary practice address
11559 Somerset Ave Princess Anne MD 21853-1022
Fax: (410) 651-4290
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X G11777 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16822 Maryland

Profile Details

NPI number 1811973506
LBN Legal business name Travis-Ward, Andrea S
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811973506 NPPES
Maryland Other 522156095 APS HEALTHCARE
Maryland Other 522156095 APS HEALTHCARE
Maryland MEDICAID 609550002 APS HEALTHCARE
Maryland MEDICAID 609550001 APS HEALTHCARE
Maryland Other 522156095 APS HEALTHCARE
Maryland MEDICAID 609550004 APS HEALTHCARE
Maryland Other LM49EA APS HEALTHCARE
Maryland Other R968 APS HEALTHCARE

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