Thomas Richard Kraemer, LBSW/QMRP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802069143 Issued in MI

Practice address

190 N Delaware St
Sandusky, MI 48471-1009

Phone

(810) 583-0324

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477643195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W WALKER RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484718820",
            "telephone_number": "810-648-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711009",
            "telephone_number": "810-583-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LBSW/QMRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802069143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LICENSE",
            "identifier": "6802069143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Kohn
• Tricia Lynn Kosal, MA,LPC
• Marsha Lynn Kosal07
• Kristina Noel Kosinski
• James Richard Kosiur, D.O.
• Heather Kraft, TLLP
• Ann Krajenke
• Catrina M Krause
• Julius Carl Krawciw, RPH
• Kristina Kreger

• Social Worker in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.