Provider Demographics
NPI:1437270071
Name:KRAEMER, BARBARA K (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:KRAEMER
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 1:12646 ALBERS ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1529
Mailing Address - Country:US
Mailing Address - Phone:818-985-7784
Mailing Address - Fax:818-985-4520
Practice Address - Street 1:10605 BALBOA BLVD STE 330
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6358
Practice Address - Country:US
Practice Address - Phone:818-832-7375
Practice Address - Fax:818-832-7213
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 83391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical