Provider Demographics
NPI:1255852042
Name:RUTH ANNE KRAMER, PLLC
Entity Type:Organization
Organization Name:RUTH ANNE KRAMER, PLLC
Other - Org Name:RUTH ANNE KRAMER, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCDC
Authorized Official - Phone:808-784-9838
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13399101Y00000X
TX597051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3694903Medicaid
HI1124412283OtherHMSA
TX00227COtherBCBS
TX622695OtherMHN