Individual provider Active NPI

Heidi Susan Cramer, LCSW

  • Clinical Social Worker
  • Greenfield, WI
National Provider Identifier
1407003627
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7008-123 Issued in WI
Practice address
4811 S 76TH St # 305
Greenfield, WI 53220-4364
Phone
(414) 325-7741
Fax
(414) 325-7753
NPI assigned
Aug 19, 2008
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 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 993062 CO
Clinical Social Worker 1041C0700X 7008-123 WI Primary

Addresses

Primary practice location

4811 S 76TH St # 305
Greenfield, WI 53220-4364

Mailing address

3968 S 1St PL
Milwaukee, WI 53207-4308
Phone (414) 949-1215

Other practice location 1

16 Mountain View Ave
#104
Longmont, CO 80501-3420
Phone (303) 921-2173

Other names 1

  • Heidi Susan Friese Former name

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
993062COMDClinical Social Worker
7008-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kinder Kounseling Clinical Past Accepting new patients
Child & Family Therapeutic Systems S.C. Clinical PastSince Jan 1, 1998 Accepting new patients

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, 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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1407003627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 S 1ST PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074308",
            "telephone_number": "414-949-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST # 305",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Mountain View Ave",
            "address_2": "#104",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013420",
            "country_code": "US",
            "telephone_number": "303-921-2173",
            "fax_number": "303-684-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "HEIDI",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "993062",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7008-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "FRIESE",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.