Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keristen Mazyck, LISW-CP

Individual provider Clinical Social Worker · NPI 1710581046

Keristen Mazyck, LISW-CP is a Clinical Social Worker in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020
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Practice location Address checks out

1632 Wayah Dr
Charleston, SC 29414-5829
Phone: (843) 813-2957
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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 9165 (SC)

Record details

NPI number1710581046
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020

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