Individual provider Active NPI

Nathan Douglas Kramer, LCSW

  • Clinical Social Worker
  • American Fork, UT
National Provider Identifier
1487151874
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1487151874 Issued in UT
Practice address
796 E Pacific Dr Ste a
American Fork, UT 84003-3161
Phone
(801) 642-2491
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1487151874 UT Primary

Addresses

Primary practice location

796 E Pacific Dr Ste a
American Fork, UT 84003-3161

Mailing address

796 E Pacific Dr Ste a
American Fork, UT 84003-3161
Phone (801) 298-2000

Other practice location 1

1459 N Main St # 100
Bountiful, UT 84010-6092
Phone (801) 201-5900

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
1487151874UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocd Anxiety Centers Utah LLC Past Accepting new patients
Acadian Counseling Service, LLC PastSince Mar 16, 2021 Accepting new patients
The Ocd and Anxiety Treatment Center Clinical PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1487151874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 E PACIFIC DR STE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033161",
            "telephone_number": "801-298-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 E PACIFIC DR STE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033161",
            "telephone_number": "801-642-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1459 N Main St # 100",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106092",
            "country_code": "US",
            "telephone_number": "801-201-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "NATHAN",
        "middle_name": "DOUGLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1487151874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.