Individual provider Active NPI

Tobin Maxwell Kramer, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1174242895
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047189-01 Issued in NY
Practice address
2823 3Rd Ave Ste 402
Bronx, NY 10455-4003
Phone
(718) 520-8000
NPI assigned
Aug 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 R047189-01 NY Primary

Addresses

Primary practice location

2823 3Rd Ave Ste 402
Bronx, NY 10455-4003

Mailing address

2823 3Rd Ave Ste 402
Bronx, NY 10455-4003
Phone (718) 520-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R047189-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Athenapsych LLC CurrentSince Aug 23, 2022 Accepting new patients
Athenapsych LLC PastSince Jul 13, 2025 Accepting new patients

Locations

2825 3rd Ave
Ste 402
Bronx, NY 10455
Phone (718) 360-0555

Organizations & group practices 2

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1174242895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 3RD AVE STE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554003",
            "telephone_number": "718-520-8000",
            "fax_number": "718-504-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 3RD AVE STE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554003",
            "telephone_number": "718-520-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "TOBIN",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047189-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.