Provider Demographics
NPI:1124412283
Name:KRAMER, RUTH ANNE (LCSW, CSAC)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANNE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 PARKS RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4812
Mailing Address - Country:US
Mailing Address - Phone:808-784-9838
Mailing Address - Fax:808-441-1969
Practice Address - Street 1:415 PARKS RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4812
Practice Address - Country:US
Practice Address - Phone:808-784-9838
Practice Address - Fax:808-441-1969
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI43221041C0700X
TX59705104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX622695OtherMHN
TX3694903Medicaid
HI1124412283OtherHMSA
TX00227COtherBCBS