MEDICARE: EMILY EAST CRAM MSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LW61042147	WA
2	1041C0700X	Clinical Social Worker		WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740802925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY EAST CRAM MSW, LICSW

Provider Business Mailing Address
First Line	:	PO BOX 5621
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98668-5621
Country	:	US
Telephone Number	:	360-358-2238
Fax Number	:	564-227-3049

Provider Business Practice Location Address
First Line	:	4001 MAIN STREET
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98663
Country	:	US
Telephone Number	:	360-358-2238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	03/16/2026

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