Provider Demographics
NPI:1558015362
Name:CRAMER, AMANDA KATHERINE (LSW)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:KATHERINE
Last Name:CRAMER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 REDLEAF DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-2882
Mailing Address - Country:US
Mailing Address - Phone:513-766-3313
Mailing Address - Fax:
Practice Address - Street 1:9395 KENWOOD RD STE 100
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6819
Practice Address - Country:US
Practice Address - Phone:513-469-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2107047104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker