Provider Demographics
NPI:1053414375
Name:KRAMER, WENDY FRECH (LCSW)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:FRECH
Last Name: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 1:1580 N NORTHWEST HWY
Mailing Address - Street 2:SUITE 305B
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1469
Mailing Address - Country:US
Mailing Address - Phone:847-768-1470
Mailing Address - Fax:847-768-1653
Practice Address - Street 1:1580 N NORTHWEST HWY
Practice Address - Street 2:#305B
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1469
Practice Address - Country:US
Practice Address - Phone:847-768-1470
Practice Address - Fax:847-768-1653
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0000971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical