Provider Demographics
NPI:1841987179
Name:KRAMER, MORGAN (ASW, MSW)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:ASW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 TULLY RD STE B6
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0848
Mailing Address - Country:US
Mailing Address - Phone:209-585-0555
Mailing Address - Fax:
Practice Address - Street 1:3300 TULLY RD STE B6
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-0848
Practice Address - Country:US
Practice Address - Phone:209-485-3374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1121091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical