Provider Demographics
NPI:1588793608
Name:ANDERSON-KRAMER, LAURIE B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:B
Last Name:ANDERSON-KRAMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 PARK DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KENILWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60043-1094
Mailing Address - Country:US
Mailing Address - Phone:773-412-0120
Mailing Address - Fax:
Practice Address - Street 1:503 PARK DR
Practice Address - Street 2:SUITE 1
Practice Address - City:KENILWORTH
Practice Address - State:IL
Practice Address - Zip Code:60043-1094
Practice Address - Country:US
Practice Address - Phone:773-412-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.003181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health