Traci Lyn Kramer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00945570 Issued in WV

Practice address

184 E 2ND Ave Ste 210
Williamson, WV 25661-3602

Phone

(304) 236-5902

NPI assigned

Nov 13, 2019

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Williamson Health & Wellness Center Inc

  dba Williamson Health & Wellness Center-Behavioral Medicine Clinic

  • Federally Qualified Health Center (FQHC)
  • Williamson, WV
  • NPI 1386115905
  Medicare reassignment NPD
• Williamson Health & Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Williamson, WV
  • NPI 1467711150
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WV

  Medicare reassignment NPD
• Williamson Health & Wellness Center Inc

  dba Williamson Health & Wellness Center-Mingo Central High School

  • Federally Qualified Health Center (FQHC)
  • Delbarton, WV
  • NPI 1225684731
  NPD
• Williamson Health & Wellness Center Inc

  dba Williamson Health & Wellness Center -Licensed Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williamson, WV
  • NPI 1942840384
  NPD
• Rural Health Access Corporation

  dba Coalfield Health Center

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
  • NPI 1124253083

  Clinical

  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1922643907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256612080",
            "telephone_number": "304-236-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 2ND AVE STE 210",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613602",
            "telephone_number": "304-236-5902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Logan St",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613606",
            "country_code": "US",
            "telephone_number": "304-236-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "TRACI",
        "middle_name": "LYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kirk, BS, PRSS
• Ruth Elaine Kirk
• Melissa Star Kitchen, APRN
• Edith Ann Koudou
• Jahala Kay Kozee
• Radha V Kudva, MD
• Doreen H Kulik
• Jhansi Lanka, MD
• Ruth Marie Layne
• Danshae Leach

• Clinical Social Worker in Williamson, WV
• Providers in Williamson, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.