Provider Demographics
NPI:1639486129
Name:KRAMER, ELLEN STEIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:STEIN
Last Name:KRAMER
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 1:3107 LAMA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-3238
Mailing Address - Country:US
Mailing Address - Phone:562-596-0600
Mailing Address - Fax:
Practice Address - Street 1:3107 LAMA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-3238
Practice Address - Country:US
Practice Address - Phone:562-596-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA167671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical