Provider Demographics
NPI:1427431725
Name:KRAMER, JENNIFER L (LISW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6495 E 132ND ST S
Mailing Address - Street 2:
Mailing Address - City:LYNNVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50153-8619
Mailing Address - Country:US
Mailing Address - Phone:641-200-0650
Mailing Address - Fax:855-683-1895
Practice Address - Street 1:306 N 3RD AVENUE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208
Practice Address - Country:US
Practice Address - Phone:641-792-4012
Practice Address - Fax:641-791-0697
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076581104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker