TRAVIS JOHN ACOSTA (NPI# 1811557374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811557374 |
| Entity Type | Individual |
| Full Name | TRAVIS JOHN ACOSTA |
| Practice Address |
6655 E Us Highway 36 # 179 Avon IN 46123-8923 |
| Mailing Address |
5101 E Us Highway 36 Ste 100 Avon IN 46123-6646 |
| Practice Telephone | 8887141927 |
| Mailing Telephone | 8887141927 |
| Mailing Fax Number | 3177459565 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
6655 E US HIGHWAY 36 # 179 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557026 | Genesis Campos | Social Worker | 35 Tower Ln Ste 202, Avon, CT 06001-4237 | 2020-11-01 |
| 1649826892 | Monica Singh | Social Worker | 35981 Ithaca Dr, Avon, OH 44011-1885 | 2019-08-14 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1235582834 | Taylor Gibbs | Social Worker | 6655 E Us Hwy 36, Avon, IN 46123-6646 | 2016-07-19 |
| 1609017938 | Shanthi Rao | Social Worker | 88 Thompson Rd, Avon, CT 06001-3014 | 2009-03-17 |
| 1174712699 | Francine Ann Carter | Social Worker | 1868 Aspen Drive, Avon, IN 46123-7478 | 2007-10-22 |
| 1720176860 | Connie Ann Schultz | Social Worker | 12533 355th St, Avon, MN 56310-8736 | 2006-10-11 |
| 1497301246 | Yasmine Bond Ali | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-08-16 |
| 1285289512 | Chelsea Nicole Anderson | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-08-05 |
| 1154980761 | Erika Julia Forslund | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-06-07 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.