Individual provider Active NPI

Melissa R Kramer, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1437587425
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05786400 Issued in NJ
Practice address
115 Maple Ave Ste 201
Red Bank, NJ 07701-1753
Phone
(732) 443-0331
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 088035-1 NY
Clinical Social Worker 1041C0700X 085897 NY
Clinical Social Worker 1041C0700X 44SC05786400 NJ Primary

Addresses

Primary practice location

115 Maple Ave Ste 201
Red Bank, NJ 07701-1753

Mailing address

85 Roosevelt Cir E
Red Bank, NJ 07701-5824
Phone (609) 338-9574

Other practice location 1

91 Lincoln Ave
Apt 2
Staten Island, NY 10306-2415
Phone (609) 338-9574

Other practice location 2

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 398-5821

Other practice location 3

115 Maple Ave Ste 202
Red Bank, NJ 07701-1752
Phone (732) 443-0331

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
088035-1NYMDSocial Worker
44SC05786400NJMDClinical Social Worker
085897NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1437587425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ROOSEVELT CIR E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015824",
            "telephone_number": "609-338-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAPLE AVE STE 201",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011753",
            "telephone_number": "732-443-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Lincoln Ave",
            "address_2": "Apt 2",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062415",
            "country_code": "US",
            "telephone_number": "609-338-9574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Old Orangeburg Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "109621157",
            "country_code": "US",
            "telephone_number": "845-398-5821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Maple Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011752",
            "country_code": "US",
            "telephone_number": "732-443-0331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088035-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085897",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05786400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

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

Verify at the official NPI Registry.