Active NPI
Connie Marie Cramer, MSW, LCSW, BCD
- Clinical Social Worker
- Scott Afb, IL
National Provider Identifier
1245265396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2003017032
- Practice address
- 310 W Losey St
Scott Afb, IL 62225-5250 - Phone
- (618) 229-5497
- Fax
- (618) 256-7299
- NPI assigned
- Jul 11, 2006
- 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 | 2003017032 | MO | Primary |
Addresses
Primary practice location
310 W Losey St
Scott Afb, IL 62225-5250
Mailing address
201 Independence
14TH Medical Group
Columbus, MS 39710-5300
Phone (662) 434-2273
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003017032 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1245265396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 INDEPENDENCE",
"address_2": "14TH MEDICAL GROUP",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397105300",
"telephone_number": "662-434-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W LOSEY ST",
"city": "SCOTT AFB",
"state": "IL",
"postal_code": "622255250",
"telephone_number": "618-229-5497",
"fax_number": "618-256-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "CONNIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW, BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2003017032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scott Afb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.