Individual provider · Type 1 NPI

Mandie Lasselle Riseman, LCSW

Clinical Social Worker · Scarborough, ME

NPI number 1659483097 Active

Practice location

7 Oak Hill Terrace, Suite 10
Scarborough, ME 04074

Fax (207) 874-1044

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLC9956 (ME)
Clinical Social Worker Primary 1041C0700XLC9956 (ME)

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 1659483097

Mandie Lasselle Riseman, LCSW's National Provider Identifier is 1659483097, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Scarborough, ME. The record was last updated on Dec 20, 2011.