Provider Demographics
NPI:1376311530
Name:KRAMER, MELISSA (CMSW, LIMHP, PLADC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:CMSW, LIMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SOUTH ST # 142
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3266
Mailing Address - Country:US
Mailing Address - Phone:402-217-8967
Mailing Address - Fax:
Practice Address - Street 1:1217 PALMETTO LANE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521
Practice Address - Country:US
Practice Address - Phone:402-217-8967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1652101YA0400X
NE2697101YM0800X
NE10001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health