1174528681 NPI number — JOYCE KRAMER LCSW-C

Table of content: JOYCE KRAMER LCSW-C (NPI 1174528681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174528681 NPI number — JOYCE KRAMER LCSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAMER
Provider First Name:
JOYCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174528681
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8823 MAXWELL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POTOMAC
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20854-3123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-299-9879
Provider Business Mailing Address Fax Number:
301-299-9879

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8823 MAXWELL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTOMAC
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20854-3123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-299-9879
Provider Business Practice Location Address Fax Number:
301-299-9879
Provider Enumeration Date:
06/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  07937 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: IP292578 . This is a "MAGELLAN HEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 025417 . This is a "TRICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 025417 . This is a "CAPITAL CARE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: B5750001 . This is a "CAREFIRSTNCA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 025417 . This is a "VALUE OPTIONS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: QX64JC 53084501 . This is a "CAREFIRST OF MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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