Individual provider · Type 1 NPI

Marisa Sue Ridley, LCSW

Clinical Social Worker · Malmstrom Afb, MT

NPI number 1104402155 Active

Practice location

7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701

Call (406) 731-3218 Map

Mailing address

820 Ironwood St
Great Falls, MT 59405-7949

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X65254 (TX)
Clinical Social Worker 1041C0700X11903428-3507 (UT)

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 1104402155

Marisa Sue Ridley, LCSW's National Provider Identifier is 1104402155, issued on Mar 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malmstrom Afb, MT. The record was last updated on Oct 23, 2023.