| Ms Kristin R Mislak, LCSW-C | |
|
1040 Hardees Dr Ste F, Aberdeen, MD 21001-2665 | |
| (410) 273-1399 | |
| (410) 273-2085 |
| Full Name | Ms Kristin R Mislak |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1040 Hardees Dr Ste F, Aberdeen, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043656218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14467 (Maryland) | Primary |
| Entity Name | Way Station Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136 |
| Entity Name | Mosaic Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265539142 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristin R Mislak, LCSW-C 1925 Greenspring Dr, Timonium, MD 21093-4128 Ph: (410) 453-9553 | Ms Kristin R Mislak, LCSW-C 1040 Hardees Dr Ste F, Aberdeen, MD 21001-2665 Ph: (410) 273-1399 |
Ms. Robin Nicole Clay, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Dr. Teddy Ray Fraker, LCSW-C, PH.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Ms. Alysse Joseph, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Bonnett St Apt B, Aberdeen, MD 21001 Phone: 301-615-0784 | |
Cecilia Mae Ruane, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Ms. Brittany A. Stegman, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Jasmine Stock, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1040 Hardees Dr Ste F, Aberdeen, MD 21001 Phone: 410-273-1399 Fax: 410-273-2085 |