Active NPI
Kristi Diane Bender, LCSW-C
- Clinical Social Worker
- Clear Spring, MD
National Provider Identifier
1003774779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08686
- Practice address
- 15504 Broadfording Rd
Clear Spring, MD 21722-1504 - Phone
- (227) 282-0623
- NPI assigned
- Jan 12, 2026
- Last updated
- Jan 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08686 | MD | Primary |
Addresses
Primary practice location
15504 Broadfording Rd
Clear Spring, MD 21722-1504
Mailing address
15504 Broadfording Rd
Clear Spring, MD 21722-1504
Phone (227) 282-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08686 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1003774779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15504 BROADFORDING RD",
"city": "CLEAR SPRING",
"state": "MD",
"postal_code": "217221504",
"telephone_number": "227-282-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15504 BROADFORDING RD",
"city": "CLEAR SPRING",
"state": "MD",
"postal_code": "217221504",
"telephone_number": "227-282-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "KRISTI",
"middle_name": "DIANE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "08686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clear Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.