Kristin R Mislak, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14467 Issued in MD

Practice address

1040 Hardees Dr Ste F
Aberdeen, MD 21001-2665

Phone

(410) 273-1399

Fax

(410) 273-2085

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosaic Community Services, Inc.

  dba Sheppard Pratt

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belcamp, MD
  • NPI 1861844706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1043656218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934128",
            "telephone_number": "410-453-9553",
            "fax_number": "443-612-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 HARDEES DR STE F",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012665",
            "telephone_number": "410-273-1399",
            "fax_number": "410-273-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLAK",
        "first_name": "KRISTIN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfulness Mental Healthcare
• Carol Mink
• Bianca Desiree Minor
• Janine Mirabile, PT
• Miraclehomehealthsolutions LLC
• Skyler Mitchell, M.S. CCC-SLP
• Karlie Marie Mitchum, MS/CCC-SLP
• Monarc, LLC
• Sarah Montgomery, SOCIAL WORK INTERN
• Rebecca S Mooney, CRNP

• Clinical Social Worker in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.