MEDICARE: MRS. CLAIRE MERCIER LAANSOO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801078968	MI

General Provider Information

NPI Number	:	1942587191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAIRE MERCIER LAANSOO LCSW

Provider Business Mailing Address
First Line	:	4213 SE RAYMOND ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-5079
Country	:	US
Telephone Number	:	248-320-4248
Fax Number	:

Provider Business Practice Location Address
First Line	:	6960 SW SANDBURG ST
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-8039
Country	:	US
Telephone Number	:	248-431-5024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	06/04/2026

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