Healthcare Provider Details

I. General information

NPI: 1235840760
Provider Name (Legal Business Name): SARAH MANDY KRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S MAIN ST
SALINAS CA
93901-2352
US

IV. Provider business mailing address

1000 S MAIN ST STE 105
SALINAS CA
93901-2394
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW77873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: