Provider Demographics
NPI:1952911737
Name:CRAMER, AMANDA (MPH, MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CRAMER
Suffix:
Gender:F
Credentials:MPH, MSW, LICSW
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:KIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2126 N 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3670
Mailing Address - Country:US
Mailing Address - Phone:330-559-4676
Mailing Address - Fax:
Practice Address - Street 1:2126 N 117TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3670
Practice Address - Country:US
Practice Address - Phone:330-559-4676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE32821041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical