Provider Demographics
NPI:1588637409
Name:TRAMPUS, JANE W (MSSW,LCSW,EDD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:W
Last Name:TRAMPUS
Suffix:
Gender:F
Credentials:MSSW,LCSW,EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 HUCKLEBERRY LN
Mailing Address - Street 2:WOODLAKE COUNTRY CLUB
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394-8254
Mailing Address - Country:US
Mailing Address - Phone:910-907-9645
Mailing Address - Fax:910-396-8745
Practice Address - Street 1:2817 REILLY RD
Practice Address - Street 2:WOMACK ARMY MEDICAL CENTER
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7324
Practice Address - Country:US
Practice Address - Phone:910-907-9645
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0033731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical