Mandie Lasselle Riseman, LCSW is a
Social Worker - Clinical based in Scarborough, Maine. Mandie Lasselle Riseman is licensed to practice in Maine (license number LC9956) and her current practice location is
7 Oak Hill Terrace, Suite 10, Scarborough, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 756-5425.
NPI number for Mandie Lasselle Riseman is 1659483097 and her current mailing address is 7 Oak Hill Terrace, Suite 10, Scarborough, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659483097.
Healthcare Provider's Profile
| Full Name | Mandie Lasselle Riseman |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 7 Oak Hill Terrace, Scarborough, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659483097
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/20/2011
Medical Identifiers
Medical identifiers for Mandie Lasselle Riseman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659483097 | NPI | - | NPPES |
| 267720099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LC9956 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC9956 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mandie Lasselle Riseman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mandie Lasselle Riseman, LCSW
7 Oak Hill Terrace, Suite 10,
Scarborough, ME 04074
Ph: (207) 756-5425 | Mandie Lasselle Riseman, LCSW
7 Oak Hill Terrace, Suite 10,
Scarborough, ME 04074
Ph: (207) 756-5425 |
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