Individual
TRAVIS UNDERWOOD
Active
Individual
TRAVIS UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007987
IA
1041C0700X
Clinical Social Worker
Primary
007987
IA
1041C0700X
Clinical Social Worker
06436
KS
1041C0700X
Clinical Social Worker
2024011007
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659353670
BCBS
IA
05
—
1659353670
—
IA
Enumeration date
04/29/2014
Last updated
05/13/2026
Update your record
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