Provider Demographics
NPI:1184914475
Name:POOLE, ERIN KRAMER (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KRAMER
Last Name:POOLE
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 1:424 CARPENTER AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3321
Mailing Address - Country:US
Mailing Address - Phone:845-699-0112
Mailing Address - Fax:
Practice Address - Street 1:21 LAUREL AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1469
Practice Address - Country:US
Practice Address - Phone:845-458-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0759041041C0700X
CT58-TBD1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical