Provider Demographics
NPI:1891706859
Name:CRAMER, GILL TERRY (LCSW)
Entity type:Individual
Prefix:MS
First Name:GILL
Middle Name:TERRY
Last Name:CRAMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:140 EAST 2ND STREET
Mailing Address - Street 2:APARTMENT 3-J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1420
Mailing Address - Country:US
Mailing Address - Phone:917-744-3895
Mailing Address - Fax:718-230-8542
Practice Address - Street 1:522 11TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4304
Practice Address - Country:US
Practice Address - Phone:917-744-3895
Practice Address - Fax:718-230-8542
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0278391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN67N61Medicare PIN