Individual provider Active NPI

Kelly Cramer, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1164965828
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010677 Issued in VA
Practice address
200 N 22ND St
Richmond, VA 23223-7020
Phone
(804) 644-9590
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12639 LA
Clinical Social Worker 1041C0700X 0904010677 VA Primary

Addresses

Primary practice location

200 N 22ND St
Richmond, VA 23223-7020

Mailing address

200 N 22ND St
Richmond, VA 23223-7020
Phone (804) 644-9590

Other practice location 1

4919 Canal St
Suite 203
New Orleans, LA 70119-5848
Phone (504) 483-9883

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
12639LAMDClinical Social Worker
0904010677VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Mental Health Agency, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1164965828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237020",
            "telephone_number": "804-644-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237020",
            "telephone_number": "804-644-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4919 Canal St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195848",
            "country_code": "US",
            "telephone_number": "504-483-9883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.