Provider Demographics
NPI:1396313805
Name:KRATZER, LINDSAY (MS, CDP, CMC, CRTS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:KRATZER
Suffix:
Gender:F
Credentials:MS, CDP, CMC, CRTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7187 NEW ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-7001
Mailing Address - Country:US
Mailing Address - Phone:315-497-7200
Mailing Address - Fax:315-497-7200
Practice Address - Street 1:52 OSWEGO ST STE 10
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2437
Practice Address - Country:US
Practice Address - Phone:315-497-7200
Practice Address - Fax:315-497-7200
Is Sole Proprietor?:No
Enumeration Date:2021-06-12
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171400000XOther Service ProvidersHealth & Wellness Coach
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion