Individual provider · NPI-1

Georgina Mercedes Cramer, LCSW

Social Worker, Clinical · Islandia, NY

NPI number1629202072
StatusActive
Last updated in NPPESNov 26, 2013

Details

NPI
1629202072
Entity type
Individual (NPI-1)
Name
Mrs. Georgina Mercedes Cramer
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2009
Last updated
Nov 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical73080412NYYes
104100000X Social Worker054430NY

Practice location

299 Sycamore Ln
Islandia, NY 11749-1586

Phone 631-348-5037 · Fax 631-348-5163

Mailing address

299 Sycamore Ln
Islandia, NY 11749-1586

Phone 631-348-5037 · Fax 631-348-5163

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