ELLIS TRAVERS CCHW
NPI 1033937149
Community Health Worker in Philadelphia, PA

NPI Status: Active since September 27, 2024

Contact Information

1348 BAINBRIDGE ST
PHILADELPHIA, PA
ZIP 19147
Phone: (215) 563-0658
Fax: (877) 316-4122

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  • Individual
  • Community Health Worker

About ELLIS TRAVERS

This page provides the complete NPI Profile along with additional information for Ellis Travers, a provider established in Philadelphia, Pennsylvania operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1033937149 assigned on September 2024. The practitioner's primary taxonomy code is 172V00000X with license number 20215 (PA). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI
1033937149
Provider Name
ELLIS TRAVERS CCHW
Gender
Entity Type
Individual
Location Address
1348 BAINBRIDGE ST PHILADELPHIA, PA 19147
Location Phone
(215) 563-0658
Location Fax
(877) 316-4122
Mailing Address
1348 BAINBRIDGE ST PHILADELPHIA, PA 19147
Mailing Phone
(215) 563-0658
Mailing Fax
(877) 316-4122
Is Sole Proprietor?
Yes
Enumeration Date
09-27-2024
Last Update Date
09-27-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
License No.
20215
License State
PA
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033937149
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631831418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 8 + 3 + 1 + 4 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033937149 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760908586 JEFFERSON LEE BULLARD LCSW
Individual
Social Worker (Clinical)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1386152775MR. BRYANT ANDRE CHRISTIE
Individual
Counselor1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1063986578 WALIYYAH SHAHIDAH MUHSIN RN, CDE
Individual
Registered Nurse (Diabetes Educator)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0658
1568964005 SIERRA BRITTINGHAM NP
Individual
Nurse Practitioner (Family)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0658
1922563881 SASHA GOLDEN RN
Individual
Registered Nurse1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0658
1245888288 RYAN COCRON
Individual
Marriage & Family Therapist1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1578183133DR. DEBORAH CLAIRE SALTMAN MD
Individual
Family Medicine1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1871115295 PETER ANDREW DANZIG MSW
Individual
Social Worker1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(065) 221-5563
1497378269 LISA PHILLIPS LCSW
Individual
Social Worker (Clinical)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1033443379 AMBER HEILER
Individual
Social Worker (Clinical)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1790349835 CASEY BENCHIMOL CRNP
Individual
Nurse Practitioner (Women's Health)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1063068294 KAI Z. THIGPEN LSW
Individual
Social Worker (Clinical)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1902376643 OLIVIA DEBIASE LCSW
Individual
Counselor (Addiction (Substance Use Disorder))1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1003471301 LUCY GLEYSTEEN
Individual
Social Worker (Clinical)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1093481467 CYRUS ZARETSKY LSW
Individual
Social Worker1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1154091726MR. JONAH KAUFFMAN-EPSTEIN MS
Individual
Counselor (Mental Health)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1427726793MR. KELLY WALLACE
Individual
Counselor (Mental Health)1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1922503853 RACHEL SPRINGER MD
Individual
Family Medicine1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1447991393 SHAQUIL RASHEED ROBERTS MSW
Individual
Social Worker1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652
1831825553 JES GROBMAN LSW
Individual
Social Worker1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147
(215) 563-0652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033937149, enumerated in the NPI registry as an "individual" on September 27, 2024

The provider is located at 1348 Bainbridge St Philadelphia, Pa 19147 and the phone number is (215) 563-0658

The provider's speciality is Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on September 27, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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