Provider Demographics
NPI:1790221653
Name:KRAMER, SAMANTHA SCOTT (LMSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SCOTT
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 79TH ST
Mailing Address - Street 2:APT. 6C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0830
Mailing Address - Country:US
Mailing Address - Phone:914-400-5349
Mailing Address - Fax:
Practice Address - Street 1:501 S 54TH ST FL 7
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1900
Practice Address - Country:US
Practice Address - Phone:215-590-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0243891041C0700X
NY09326-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical