Provider Demographics
NPI:1174528681
Name:KRAMER, JOYCE (LCSW-C)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8823 MAXWELL DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3123
Mailing Address - Country:US
Mailing Address - Phone:301-299-9879
Mailing Address - Fax:301-299-9879
Practice Address - Street 1:8823 MAXWELL DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3123
Practice Address - Country:US
Practice Address - Phone:301-299-9879
Practice Address - Fax:301-299-9879
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07937101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDIP292578OtherMAGELLAN HEALTH
MD025417OtherTRICARE
DC025417OtherCAPITAL CARE
DCB5750001OtherCAREFIRSTNCA
MD025417OtherVALUE OPTIONS
MDQX64JC 53084501OtherCAREFIRST OF MARYLAND
MD025417OtherVALUE OPTIONS