Riseman, Mandie Lasselle

Riseman, Mandie Lasselle is an sole proprietor health care provider with primary practice located at 7 Oak Hill Terrace Suite 10, Scarborough ME 04074. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Riseman, Mandie Lasselle can be contacted via phone (207) 756-5425.

Contact Information

Primary practice address
7 Oak Hill Terrace Suite 10 Scarborough ME 04074
Phone: (207) 756-5425
Fax: (207) 874-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC9956 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC9956 Maine

Profile Details

NPI number 1659483097
LBN Legal business name Riseman, Mandie Lasselle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659483097 NPPES
Maine MEDICAID 267720099

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