Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Sue Ridley, LCSW

Individual provider Clinical Social Worker · NPI 1104402155

Marisa Sue Ridley, LCSW is a Clinical Social Worker in Malmstrom AFB, Montana. Practices as a sole proprietor. Licensed in Texas and Utah.

Licensed in
TX, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7300 N Perimeter Rd
Malmstrom AFB, MT 59402-6701
Phone: (406) 731-3218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65254 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11903428-3507 (UT)

Record details

NPI number1104402155
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 21, 2021
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

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