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MARISA SUE RIDLEY LCSW NPI 1104402155


NPI Information

NPI: 1104402155
Provider Name: MARISA SUE RIDLEY, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
7300 N PERIMETER RD
MALMSTROM AFB, MT
ZIP 59402
Phone: (406) 731-3218
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Marisa Sue Ridley, LCSW is a clinical social worker in Malmstrom Afb, MT. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Marisa Sue Ridley, LCSW NPI is 1104402155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7300 N PERIMETER RD
MALMSTROM AFB, MT
ZIP 59402-701
Phone: (406) 731-3218

The enumeration date for this NPI number is 3/21/2021 and was last updated on 10/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical65254TEXASYes
21041C0700XSocial WorkerClinical11903428-3507UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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