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Elianna Lantz Ricciardi, LCSW

Social Worker, Clinical in South Portland, ME. Individual provider (NPI-1).

NPI number1417354580
StatusActive
Last updated in NPPESDec 8, 2020

Details

NPI
1417354580
Entity type
Individual (NPI-1)
Name
Elianna Lantz Ricciardi
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2014
Certification date
Dec 8, 2020
Last updated
Dec 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalMC15154MEYes

Other names

  • Elianna Lantz (Former Name)

Practice location

100 Foden Rd, East
Suite 100
South Portland, ME 04106

Phone 207-874-1489

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Phone 207-828-0361

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