Provider Demographics
NPI:1063636389
Name:KRAMER, LYNN WECHSLER (LCSW, LOTR)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:WECHSLER
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW, LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MAPLE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2529
Mailing Address - Country:US
Mailing Address - Phone:908-277-1505
Mailing Address - Fax:908-277-2160
Practice Address - Street 1:37 MAPLE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2529
Practice Address - Country:US
Practice Address - Phone:908-277-1505
Practice Address - Fax:908-277-2160
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001384001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical