Mandie Lasselle Riseman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC9956 Issued in ME

Practice address

7 Oak Hill Terrace
Suite 10
Scarborough, ME 04074

Phone

(207) 756-5425

Fax

(207) 874-1044

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mandie Marie Lasselle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 5, 2025 through Dec 5, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maine Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1962422964
  NPD (past)
• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1659483097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TERRACE",
            "address_2": "SUITE 10",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-756-5425",
            "fax_number": "207-874-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TERRACE",
            "address_2": "SUITE 10",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-756-5425",
            "fax_number": "207-874-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISEMAN",
        "first_name": "MANDIE",
        "middle_name": "LASSELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC9956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC9956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267720099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDIE",
            "last_name": "LASSELLE",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Adelaide Richardson, NP
• Alan Frederick Keohane Riley, MD
• Kathleen Megan Riley, CNM
• Kevin Patrick Riley, DPT
• Stephen D. Rioux, MD
• Lawrence J Risigo, PT
• Jesse S Ritch, PA-C
• Rite Aid
• Rite Aid of Maine Inc
• Brooke Sears Ritvo, M.D.

• Clinical Social Worker in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.