Provider Demographics
NPI:1184954117
Name:CRAMER, BRIAN JAMES (MSW PLMHP)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:JAMES
Last Name:CRAMER
Suffix:
Gender:M
Credentials:MSW PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 M ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2246
Mailing Address - Country:US
Mailing Address - Phone:402-431-4200
Mailing Address - Fax:402-493-3340
Practice Address - Street 1:825 M ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2246
Practice Address - Country:US
Practice Address - Phone:402-431-4200
Practice Address - Fax:402-493-3340
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8950101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025836700Medicaid