Healthcare Provider Details

I. General information

NPI: 1144886243
Provider Name (Legal Business Name): ANNA ELIZABETH KRAMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 FOX HILL RD
STATE COLLEGE PA
16803-1877
US

IV. Provider business mailing address

1365 UNIVERSITY DR
STATE COLLEGE PA
16801-6446
US

V. Phone/Fax

Practice location:
  • Phone: 814-238-4851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019787
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: