Active NPI
Lynda Jean Cramer, LICSW
- Clinical Social Worker
- St Paul, MN
National Provider Identifier
1003955121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09019
- Practice address
- 1885 University Ave W
Suite 325
St Paul, MN 55104 - Phone
- (651) 642-1220
- Fax
- (651) 641-4089
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09019 | MN | Primary |
Addresses
Primary practice location
1885 University Ave W
Suite 325
St Paul, MN 55104
Mailing address
2037 Wellesley
St Paul, MN 55105
Phone (651) 698-7471
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7G835CR | Other | MN | BLUECROSS BLUESHIELD |
| 6245993 | Other | UNITED BEHAVIORAL | |
| 129297 | Other | COM PSYCH CORPORATION |
Other names 1
- Lynda Jean Stockbill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09019 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003955121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2037 WELLESLEY",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55105",
"telephone_number": "651-698-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 UNIVERSITY AVE W",
"address_2": "SUITE 325",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-642-1220",
"fax_number": "651-641-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "LYNDA",
"middle_name": "JEAN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "09019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "7G835CR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL",
"identifier": "6245993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM PSYCH CORPORATION",
"identifier": "129297",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "STOCKBILL",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.