Provider Demographics
NPI:1902973514
Name:KRAMER, MURRAY H (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:MURRAY
Middle Name:H
Last Name:KRAMER
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18110 KITCHEN HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2422
Mailing Address - Country:US
Mailing Address - Phone:301-972-3470
Mailing Address - Fax:301-972-3470
Practice Address - Street 1:19821 WHITE GROUND RD
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-9416
Practice Address - Country:US
Practice Address - Phone:301-275-4793
Practice Address - Fax:301-972-3470
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD055911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD115502400Medicaid
MD13203ZATMedicare PIN
DC636-452Medicare PIN