Provider Demographics
NPI:1336934868
Name:KRAMER, BENJAMIN JAMES
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:JAMES
Last Name:KRAMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1115
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-1115
Mailing Address - Country:US
Mailing Address - Phone:970-924-0703
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1115
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-1115
Practice Address - Country:US
Practice Address - Phone:970-924-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099316621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical