Active NPI
Georgina Mercedes Cramer, LCSW
- Clinical Social Worker
- Islandia, NY
National Provider Identifier
1629202072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73080412
- Practice address
- 299 Sycamore LN
Islandia, NY 11749-1586 - Phone
- (631) 348-5037
- Fax
- (631) 348-5163
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 054430 | NY | |
| Clinical Social Worker | 1041C0700X | 73080412 | NY | Primary |
Addresses
Primary practice location
299 Sycamore LN
Islandia, NY 11749-1586
Mailing address
299 Sycamore LN
Islandia, NY 11749-1586
Phone (631) 348-5037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73080412 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73080412 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1629202072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 SYCAMORE LN",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491586",
"telephone_number": "631-348-5037",
"fax_number": "631-348-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SYCAMORE LN",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491586",
"telephone_number": "631-348-5037",
"fax_number": "631-348-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "GEORGINA",
"middle_name": "MERCEDES",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "054430",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73080412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73080412",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.