Provider Demographics
NPI:1063548519
Name:SAMUELS-KRAMER, HEDY ELLEN (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:HEDY
Middle Name:ELLEN
Last Name:SAMUELS-KRAMER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:HEDY
Other - Middle Name:ELLEN
Other - Last Name:SAMUELS KRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:223 WHALEN STREET
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471
Mailing Address - Country:US
Mailing Address - Phone:718-601-3999
Mailing Address - Fax:718-601-3999
Practice Address - Street 1:211 WEST 56TH STREET
Practice Address - Street 2:SUITE #21J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:718-601-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRLCSWF216481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N32631Medicare ID - Type Unspecified