IndividualActive
Mary Nissen, LCSW
NPI 1760735682 · Clinical Social Worker · Ronan, MT
Provider details
- NPI number
- 1760735682
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 189560 (AK)
Mailing address
Po Box 528
Bethel, AK 99559
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.