Individual provider · Type 1 NPI
Crystall M. Sisco
Clinical Social Worker · Bowie, MD
Practice location
1607 Melford Blvd, Suite 400
Bowie, MD 20715-4305
Mailing address
13324 Burleigh St
Upper Marlboro, MD 20774-1961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 28161 (MD) |
| Clinical Social Worker Primary | 1041C0700X | LC200005104 (DC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1669124301
Crystall M. Sisco's National Provider Identifier is 1669124301, issued on Jan 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowie, MD. The record was last updated on Oct 2, 2026.