Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Wilson, LCSW-C

Individual provider Clinical Social Worker · NPI 1639934334

Kristen Wilson, LCSW-C is a Clinical Social Worker in Towson, Maryland. Qualified in 2020, 6 years ago. Practices with Sheppard Pratt Physicians PA, a 72-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

6901 N Charles St Bldg E
Towson, MD 21204-3780
Phone: (443) 809-4130
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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 26203 (MD)

Record details

NPI number1639934334
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sheppard Pratt Physicians Pa — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Towson