Provider Demographics
NPI:1265929293
Name:KRAMER, BARY ALAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:BARY
Middle Name:ALAN
Last Name:KRAMER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 SE SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-3317
Mailing Address - Country:US
Mailing Address - Phone:816-805-4913
Mailing Address - Fax:
Practice Address - Street 1:1311 SE SCENIC DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-3317
Practice Address - Country:US
Practice Address - Phone:816-805-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0051571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical