Healthcare Provider Details

I. General information

NPI: 1447866207
Provider Name (Legal Business Name): CHARLES ALBERT KRAMPNER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHARLIE KRAMPNER LCSW

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 E 18TH ST
CHEYENNE WY
82001-5511
US

IV. Provider business mailing address

PO BOX 20970
CHEYENNE WY
82003-7020
US

V. Phone/Fax

Practice location:
  • Phone: 307-633-7382
  • Fax: 307-633-7202
Mailing address:
  • Phone: 307-633-7382
  • Fax: 307-633-7202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-1546
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: