Provider Demographics
NPI:1023155785
Name:KRAMER, JENNIE J (LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIE
Middle Name:J
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W 34TH ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3011
Mailing Address - Country:US
Mailing Address - Phone:914-907-2600
Mailing Address - Fax:914-722-1411
Practice Address - Street 1:1 W 34TH ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3011
Practice Address - Country:US
Practice Address - Phone:914-907-2600
Practice Address - Fax:914-722-1411
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076520-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical