Provider Demographics
NPI:1144451626
Name:KRAMLICK, MICHAEL (MSW/LSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:KRAMLICK
Suffix:
Gender:M
Credentials:MSW/LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 TROY DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2069
Mailing Address - Country:US
Mailing Address - Phone:973-912-8548
Mailing Address - Fax:
Practice Address - Street 1:87 TROY DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-2069
Practice Address - Country:US
Practice Address - Phone:973-912-8548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-02
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05487800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker