MEDICARE: ELIZABETH MARIE DURST LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	31628	MD

General Provider Information

NPI Number	:	1629920079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MARIE DURST LMSW

Provider Business Mailing Address
First Line	:	125 FROST AVE
Second Line	:
City	:	FROSTBURG
State	:	MD
Zip	:	21532-1621
Country	:	US
Telephone Number	:	240-522-7982
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 FROST AVE
Second Line	:
City	:	FROSTBURG
State	:	MD
Zip	:	21532-1621
Country	:	US
Telephone Number	:	240-522-7982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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