Provider Demographics
NPI:1679958490
Name:KRAMER, JENNIFER N (LCSW, CFSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW, CFSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:N
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KURTZ
Mailing Address - Street 1:3600 RODENBERG AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47720-6156
Mailing Address - Country:US
Mailing Address - Phone:812-746-3499
Mailing Address - Fax:
Practice Address - Street 1:1146 WASHINGTON SQ
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715
Practice Address - Country:US
Practice Address - Phone:812-425-2662
Practice Address - Fax:812-425-3141
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007231A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN34007231AOtherLICENSE