Individual provider Active NPI

Jennifer N Kramer, LCSW, CFSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1679958490
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007231A Issued in IN
Practice address
1146 Washington SQ
Evansville, IN 47715
Phone
(812) 425-2662
Fax
(812) 425-3141
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 34007231A IN Primary

Addresses

Primary practice location

1146 Washington SQ
Evansville, IN 47715

Mailing address

3600 Rodenberg Ave
Evansville, IN 47720-6156
Phone (812) 746-3499

Other practice location 1

1401 Professional Blvd
Suite 201
Evansville, IN 47714-8014
Phone (812) 858-1032

Other identifiers 1

IdentifierTypeStateIssuer
34007231AOtherINLICENSE

Other names 1

  • Jennifer N Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150728004050 IN Practitioner - Clinical Social Worker 2769796341 Reassigns benefits to 2 organizations
I20170927001754 KY Practitioner - Clinical Social Worker 2769796341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

7300 E Indiana St
Suite 103
Evansville, IN 47715-7448
Phone (812) 401-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007231AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Specialists, Inc Clinical CurrentSince Oct 21, 2023 Accepting new patients
Midwest Behavioral Health LLC CurrentSince Jun 7, 2025 Accepting new patients
Extended Care Specialists, Inc Clinical PastSince Oct 6, 2024 Accepting new patients

Locations

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

8398 Mississippi St
Fl 2
Merrillville, IN 46410

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1679958490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODENBERG AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477206156",
            "telephone_number": "812-746-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-425-2662",
            "fax_number": "812-425-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Professional Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477148014",
            "country_code": "US",
            "telephone_number": "812-858-1032",
            "fax_number": "812-858-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LCSW, CFSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34007231A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "N",
            "credential": "KURTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.