Provider Demographics
NPI:1659628923
Name:TRAVIS, GENEVIEVE GIDDINGS (MSW)
Entity type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:GIDDINGS
Last Name:TRAVIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 HERMOSA DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-3728
Mailing Address - Country:US
Mailing Address - Phone:505-920-6351
Mailing Address - Fax:
Practice Address - Street 1:251 HERMOSA DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-3728
Practice Address - Country:US
Practice Address - Phone:505-920-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099238171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical