Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Kramer, LCSW

Individual provider Clinical Social Worker · NPI 1184515223

Jacob Kramer, LCSW is a Clinical Social Worker in Pawtucket, Rhode Island. Qualified in 2025, 1 year ago. Practices with Gateway Healthcare Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

101-103 Bacon St
Pawtucket, RI 02860-5542
Phone: (401) 722-3560
Fax: (401) 722-3593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW04205 (RI)

Record details

NPI number1184515223
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Gateway Healthcare Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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