Active NPI
Charles H Kramer III, LMSW, BCD
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1831247022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801019010
- Practice address
- 117 N 1St St
Ste. 106
Ann Arbor, MI 48104-1354 - Phone
- (734) 662-2144
- NPI assigned
- Jan 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801019010 | MI | Primary |
| Marriage & Family Therapist | 106H00000X | 4101005791 | MI |
Addresses
Primary practice location
117 N 1St St
Ste. 106
Ann Arbor, MI 48104-1354
Mailing address
117 N 1St St Ste 106
Ann Arbor, MI 48104-1354
Phone (734) 663-4553
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 |
|---|---|---|---|
| 6801019010 | MI | MD | Clinical Social Worker |
| 4101005791 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1831247022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N 1ST ST STE 106",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041354",
"telephone_number": "734-663-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N 1ST ST",
"address_2": "STE. 106",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041354",
"telephone_number": "734-662-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "CHARLES",
"middle_name": "H",
"name_suffix": "III",
"credential": "LMSW, BCD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801019010",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.