| Marisa Sue Ridley, LCSW | |
|
7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | |
| (406) 731-3218 | |
| Not Available |
| Full Name | Marisa Sue Ridley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7300 N Perimeter Rd, Malmstrom Afb, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104402155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 65254 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 11903428-3507 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Sue Ridley, LCSW 820 Ironwood St, Great Falls, MT 59405-7949 Ph: (903) 821-7532 | Marisa Sue Ridley, LCSW 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-3218 |
Ms. Elaine Harris, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3689 | |
Crystal Noppenberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-7494 | |
Jordan Kieliszewski, LISWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 064-731-4494 | |
Mr. Anthony Christopher Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Bldg 2040, Malmstrom Afb, MT 59402 Phone: 406-731-3219 Fax: 406-731-3231 |