Individual
ANDREA S TRAVIS-WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
11559 SOMERSET AVE, PRINCESS ANNE, MD 21853-1022
(410) 651-4200
(410) 651-4290
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
G11777
MD
1041C0700X
Clinical Social Worker
Primary
16822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522156095
APS HEALTHCARE
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST BCBS - LOCAL
MD
01
—
R968
CAREFIRST BCBS - FEDERAL
MD
Enumeration date
12/15/2005
Last updated
04/13/2011
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