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

Mark J Krist, LCSW

Individual provider Clinical Social Worker · NPI 1508884370

Mark J Krist, LCSW is a Clinical Social Worker in Fort George G Meade, Maryland. Works from 2 locations. Licensed in Maryland, Michigan and New Mexico.

Licensed in
MD, MI, NM
In the registry since
2006
Specialties on file
3
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 Partly verified

Some contact details are missing from the federal record.

Usameddac 2480 Llewellyn Ave
Fort George G Meade, MD 20755
Phone: (301) 677-8136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7610 Carroll Ave Ste 310, Takoma Park, MD 20912-6315 — (240) 531-2891

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31210 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801085533 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence C-09359 (NM)

Record details

NPI number1508884370
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESOctober 22, 2024
Certification dateOctober 16, 2024

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