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HEATHER KRAMER LCSW
NPI 1912499534
Social Worker - Clinical in West Babylon, NY

Active since May 30, 2018PECOS Enrolled
609 ROUTE 109 STE 1B6, WEST BABYLON, NY 11704(631) 450-2566 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Jul 22, 2022, Jan 17, 2022 and 2 more (5 updates tracked since 2018).

About Heather Kramer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER KRAMER LCSW (NPI 1912499534) is an individual clinical provider in West Babylon, New York, licensed in New York (086827-1) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Babylon, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912499534
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER KRAMERCredential: LCSW
Location Address609 ROUTE 109 STE 1B6West Babylon, NY 11704-5069
Mailing Address609 Route 109 Ste 1b6West Babylon, NY 11704-5069 · (631) 450-2566
Phone(631) 450-2566
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 30, 2018
Last NPPES UpdateAugust 19, 20255 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1912499534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 086827-1✔ Licensed in NY · 086827
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
609 ROUTE 109 STE 1B6, West Babylon, NY 11704
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Secondary Practice Location 1

Location 1609 Route 109 Ste 1B6West Babylon, NY 11704-5069 · Phone (631) 450-2566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Kramer Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739568437
PECOS Enrollment IDI20220627003431
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Kramer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charles Evans Center, Inc
6.6 mi
Federally Qualified Health Center (FQHC)
2146 JACKSON AVE
Seaford, NY 11783
  • Reassigned Medicare billing, New York enrollment
  • 66 clinicians in this Medicare group
NPI 1215596614 (516) 622-8888
Heather Kramer Lcsw PC
6.7 mi
Clinical
91 E MAIN ST
Bay Shore, NY 11706
  • Reassigned Medicare billing, New York enrollment
NPI 1790507051 (631) 450-2566
New Horizon Counseling Center Inc
24 mi
Mental Health (Including Community Mental Health Center)
10819 ROCKAWAY BLVD
South Ozone Park, NY 11420
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
NPI 1366430563 (718) 845-2620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MICHELLE ROSENBERG
Social Worker
609 ROUTE 109 STE 1B6
WEST BABYLON, NY 11704
Suffolk County (631) 450-2566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Kramer's NPI number?

The NPI number for Heather Kramer is 1912499534. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Heather Kramer located?

Heather Kramer practices at 609 Route 109 Ste 1b6, West Babylon, NY 11704. The listed phone number is (631) 450-2566.

What is Heather Kramer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Kramer enrolled in Medicare?

Yes. Heather Kramer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Kramer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Kramer reassigns Medicare benefits to 3 organizations: Charles Evans Center, Inc (Seaford, NY), Heather Kramer Lcsw PC (Bay Shore, NY) and New Horizon Counseling Center Inc (South Ozone Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Kramer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Kramer accept?

Health plans from Oscar Health list Heather Kramer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Kramer was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.