Provider Demographics
NPI:1558552919
Name:KRAMER, CHARLES ERNEST (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:ERNEST
Last Name:KRAMER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MILL STREET
Mailing Address - Street 2:ALTERNATIVES COUNSELING CENTER
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-1935
Mailing Address - Country:US
Mailing Address - Phone:607-722-1836
Mailing Address - Fax:607-772-3610
Practice Address - Street 1:37 MILL ST
Practice Address - Street 2:ALTERNATIVES COUNSELING CENTER
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1935
Practice Address - Country:US
Practice Address - Phone:607-722-1836
Practice Address - Fax:607-772-3610
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045377-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR56111Medicare PIN