Provider Demographics
NPI:1801017934
Name:KRAMER, ARLENE BARBARA (LCSW,ACSW,BCD)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:BARBARA
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW,ACSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ARDMORE AVE
Mailing Address - Street 2:#217
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1106
Mailing Address - Country:US
Mailing Address - Phone:610-649-3637
Mailing Address - Fax:610-649-7899
Practice Address - Street 1:700 ARDMORE AVE
Practice Address - Street 2:#217
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1106
Practice Address - Country:US
Practice Address - Phone:610-649-3637
Practice Address - Fax:610-649-7899
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW002418L106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1801017934Medicare UPIN