Healthcare Provider Details

I. General information

NPI: 1902973514
Provider Name (Legal Business Name): MURRAY H KRAMER LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19821 WHITE GROUND RD
BOYDS MD
20841-9416
US

IV. Provider business mailing address

18110 KITCHEN HOUSE CT
GERMANTOWN MD
20874-2422
US

V. Phone/Fax

Practice location:
  • Phone: 301-275-4793
  • Fax: 301-972-3470
Mailing address:
  • Phone: 301-972-3470
  • Fax: 301-972-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number05591
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: