Provider Demographics
NPI:1336789759
Name:KRAMER, CAROL JUDY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JUDY
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 1:3755 HENRY HUDSON PKWY APT 14E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1539
Mailing Address - Country:US
Mailing Address - Phone:646-337-6464
Mailing Address - Fax:
Practice Address - Street 1:302 W 79TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6115
Practice Address - Country:US
Practice Address - Phone:646-337-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical