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

Kristine Rister, LICSW, SUDP

Individual provider Counselor · NPI 1568701530

Kristine Rister, LICSW, SUDP is a Clinical Social Worker in Longview, Washington. Qualified in 2021, 5 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2013
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

900 Fir St
Longview, WA 98632-2544
Phone: (360) 353-9422
Fax: (360) 353-9440
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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 SC61234578 (WA)
Counselor Taxonomy 101Y00000X · Licence SC61234578 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60145336 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61666844 (WA)

Record details

NPI number1568701530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , SUDP
Sole proprietorNo
NPI enumeratedFebruary 11, 2013
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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