Individual provider Active NPI

Courtney Kramer, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1083271597
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012118 Issued in NC
Practice address
1120 Laskin Rd Ste 104
Virginia Beach, VA 23451-5273
Phone
(757) 650-5346
NPI assigned
May 21, 2019
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012118 NC Primary

Addresses

Primary practice location

1120 Laskin Rd Ste 104
Virginia Beach, VA 23451-5273

Mailing address

1765 Chase Pointe Cir Apt 1128
Virginia Beach, VA 23454-7042
Phone (703) 380-5299

Other practice location 1

10 Crispin Ct Ste 203D
Asheville, NC 28803-8205
Phone (828) 250-3700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P012118NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Healing, PLLC Clinical Current Accepting new patients
Seven Cities Therapy, PLLC Clinical CurrentSince Oct 8, 2023 Accepting new patients
Youth Villages, Inc. Past Accepting new patients
Atlantic Family and Adolescent Therapy, PLLC PastSince Oct 8, 2023 Accepting new patients

Locations

1120 Laskin Rd
Ste 104
Virginia Beach, VA 23451
Phone (757) 422-0362

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1083271597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 CHASE POINTE CIR APT 1128",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234547042",
            "telephone_number": "703-380-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LASKIN RD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515273",
            "telephone_number": "757-650-5346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Crispin Ct Ste 203D",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038205",
            "country_code": "US",
            "telephone_number": "828-250-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.