=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699587501
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KRAMER AND WALKER COUNSELING LCSW, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2025
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 PINE WEST PLZ STE 508
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12205-5587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-217-5460
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 PINE WEST PLAZA SUITE 508
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-217-5460
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER MANAGER
-----------------------------------------------------
Name | CATHERINE KRAMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 518-217-5460
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------