Healthcare Provider Details

I. General information

NPI: 1942587191
Provider Name (Legal Business Name): CLAIRE MERCIER LAANSOO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAIRE MARIE MERCIER LMSW

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6960 SW SANDBURG ST
TIGARD OR
97223-8039
US

IV. Provider business mailing address

4213 SE RAYMOND ST
PORTLAND OR
97206-5079
US

V. Phone/Fax

Practice location:
  • Phone: 248-431-5024
  • Fax:
Mailing address:
  • Phone: 248-320-4248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801078968
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: