Active NPI
Debra Kram-Fernandez, PHD, LCSW
- Clinical Social Worker
- Tarrytown, NY
National Provider Identifier
1316356900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 044824
- Practice address
- 15 N Broadway
Tarrytown, NY 10591-3236 - Phone
- (718) 344-4073
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 044824 | NY | Primary |
Addresses
Primary practice location
15 N Broadway
Tarrytown, NY 10591-3236
Mailing address
15 N Broadway
Tarrytown, NY 10591-3236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200213001817 | NY | Practitioner - Clinical Social Worker | 1850727652 | Practice locations: Tarrytown, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8 Hendrick LN
Tarrytown, NY 10591-4827
Phone (718) 344-4073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044824 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1316356900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N BROADWAY",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105913236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N BROADWAY",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105913236",
"telephone_number": "718-344-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAM-FERNANDEZ",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "PHD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "044824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.