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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISA SUE RIDLEY, LCSW

Active Sole Proprietor

MARISA SUE RIDLEY, LCSW is a Clinical Social Worker healthcare provider located in MALMSTROM AFB, Montana. NPI 1104402155 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MALMSTROM AFB, MT

Registration Details

NPI Number
1104402155
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2021 (5.3766440060874 yrs)
Last Updated
Oct 23, 2023
Licenses
65254 (TX)
11903428-3507 (UT)
Sole Proprietor
Yes

Practice Information

Address
7300 N PERIMETER RD
MALMSTROM AFB, MT, 594026701
Browse MT providers · Browse ZIP 59402
Phone
4067313218
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MALMSTROM AFB, MT

Name Credential NPI
JORDAN KIELISZEWSKI LISWS 1669469094
MS. ELAINE HARRIS LCSW 1326022237
MR. ANTHONY CHRISTOPHER WILSON LCSW 1942315494
CRYSTAL NOPPENBERG LCSW 1336539287
MR. THOMAS M MCCRACKEN 1700511094
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.