Provider Demographics
NPI:1407003627
Name:CRAMER, HEIDI SUSAN (LCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUSAN
Last Name:CRAMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:SUSAN
Other - Last Name:FRIESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3968 S 1ST PL
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-4308
Mailing Address - Country:US
Mailing Address - Phone:414-949-1215
Mailing Address - Fax:
Practice Address - Street 1:4811 S 76TH ST # 305
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4364
Practice Address - Country:US
Practice Address - Phone:414-325-7741
Practice Address - Fax:414-325-7753
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9930621041C0700X
WI7008-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical