Provider Demographics
NPI:1982043816
Name:TRAMA, KATHERINE ENID (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ENID
Last Name:TRAMA
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 1:1363 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 40
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3046
Mailing Address - Country:US
Mailing Address - Phone:631-979-5863
Mailing Address - Fax:631-979-5867
Practice Address - Street 1:1363 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 40
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-3046
Practice Address - Country:US
Practice Address - Phone:631-979-5863
Practice Address - Fax:631-979-5867
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0644481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical