Individual provider Active NPI

Christine L Rist, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1326300757
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13935 Issued in MD
Practice address
623 Marlboro Rd
Glen Burnie, MD 21061-4619
Phone
(410) 615-1355
NPI assigned
Jun 12, 2012
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13935 MD Primary

Addresses

Primary practice location

623 Marlboro Rd
Glen Burnie, MD 21061-4619

Mailing address

623 Marlboro Rd
Glen Burnie, MD 21061-4619
Phone (410) 615-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000128 MD Practitioner - Clinical Social Worker 4688830276 Reassigns benefits to 1 organization
Practice locations: Glen Burnie, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Glen Burnie, MD 21061
Phone (410) 615-1355

1406 Crain Hwy S
Suite 104
Glen Burnie, MD 21061-4086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Behavioral Health Solutions Current Accepting new patients
M&M Behavioral Health Solutions CurrentSince Apr 25, 2017 Accepting new patients

Locations

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1326300757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MARLBORO RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614619",
            "telephone_number": "410-615-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MARLBORO RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614619",
            "telephone_number": "410-615-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIST",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.