Basic Information
| Provider Information | |||||||||
| NPI: | 1427431725 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRAMER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | LISW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6495 E 132ND ST S | ||||||||
| Address2: | |||||||||
| City: | LYNNVILLE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 501538619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6412000650 | ||||||||
| FaxNumber: | 8556831895 | ||||||||
| Practice Location | |||||||||
| Address1: | 306 N 3RD AVENUE E | ||||||||
| Address2: | |||||||||
| City: | NEWTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6417924012 | ||||||||
| FaxNumber: | 6417910697 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2015 | ||||||||
| LastUpdateDate: | 03/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 076581 | IA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.