Provider Demographics
NPI:1811538267
Name:ALEXANDER-TONEY, TRAVANNA F (LCSW, LSCSW, LMSW)
Entity Type:Individual
Prefix:
First Name:TRAVANNA
Middle Name:F
Last Name:ALEXANDER-TONEY
Suffix:
Gender:F
Credentials:LCSW, LSCSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300055
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-0055
Mailing Address - Country:US
Mailing Address - Phone:816-812-9284
Mailing Address - Fax:
Practice Address - Street 1:5301 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-4009
Practice Address - Country:US
Practice Address - Phone:816-812-9284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019025248104100000X, 1041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool