Provider Demographics
NPI:1326033283
Name:GRAMA, TOBIE (LCSW)
Entity Type:Individual
Prefix:
First Name:TOBIE
Middle Name:
Last Name:GRAMA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 3RD ST
Mailing Address - Street 2:#4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2867
Mailing Address - Country:US
Mailing Address - Phone:646-256-6363
Mailing Address - Fax:
Practice Address - Street 1:396 3RD ST
Practice Address - Street 2:#4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2867
Practice Address - Country:US
Practice Address - Phone:646-256-6363
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0359951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical