Individual provider Active NPI

Karen Crist, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1336420405
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11392 Issued in MD
Practice address
10649 Weymouth St Apt 2
Bethesda, MD 20814-4239
Phone
(240) 481-7206
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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 11392 MD Primary

Addresses

Primary practice location

10649 Weymouth St Apt 2
Bethesda, MD 20814-4239

Mailing address

10649 Weymouth St Apt 2
Bethesda, MD 20814-4239
Phone (240) 481-7206

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11392MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients

Locations

401 Hungerford Dr
Fl 6
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: karen.crist.p1@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: karen.crist.p3@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 1

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1336420405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 WEYMOUTH ST APT 2",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144239",
            "telephone_number": "240-481-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10649 WEYMOUTH ST APT 2",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144239",
            "telephone_number": "240-481-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "KAREN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.