Healthcare Provider Details

I. General information

NPI: 1871123232
Provider Name (Legal Business Name): JENNIFER ANN CRAMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 92ND ST
NIAGARA FALLS NY
14304-2605
US

IV. Provider business mailing address

1271 92ND ST
NIAGARA FALLS NY
14304-2605
US

V. Phone/Fax

Practice location:
  • Phone: 716-622-3392
  • Fax:
Mailing address:
  • Phone: 716-622-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18809
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102291-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: