Provider Demographics
NPI:1659362341
Name:RAMER, SETH CRAIG (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:CRAIG
Last Name:RAMER
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:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-0082
Mailing Address - Country:US
Mailing Address - Phone:301-895-3117
Mailing Address - Fax:301-746-7147
Practice Address - Street 1:130 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4236
Practice Address - Country:US
Practice Address - Phone:301-895-3117
Practice Address - Fax:301-746-7147
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06416101YM0800X
WVCP00938909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQS79Medicare ID - Type Unspecified