Provider Demographics
NPI:1265784011
Name:CRAMER, ANGELAH DAWN (LMSW, CAADC, CCS)
Entity type:Individual
Prefix:MRS
First Name:ANGELAH
Middle Name:DAWN
Last Name:CRAMER
Suffix:
Gender:F
Credentials:LMSW, CAADC, CCS
Other - Prefix:
Other - First Name:ANGELAH
Other - Middle Name:DAWN
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, CAADC, CCS
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7445 ALLEN RD STE 110
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1959
Practice Address - Country:US
Practice Address - Phone:313-914-4085
Practice Address - Fax:313-879-6549
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010932051041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical