=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235336892
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH MICHELLE KRAMER L.C.S.W., M.S.W
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2007
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 319 ELK AVE UNIT 3
-----------------------------------------------------
City | CRESTED BUTTE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81224-9608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-205-9001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3963
-----------------------------------------------------
City | CRESTED BUTTE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81224-3700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-642-4614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 2148
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------