MS. LORI B MCILROY LCSW, CSAC
NPI 1023268737
Social Worker - Clinical in Waukesha, WI

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
500 RIVERVIEW AVE, WAUKESHA, WI 53188(262) 548-7655 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Lori B Mcilroy Lcsw, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LORI B MCILROY LCSW, CSAC (NPI 1023268737) is an individual clinical provider in Waukesha, Wisconsin, licensed in Wisconsin (7943-123) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1023268737
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LORI B MCILROYCredential: LCSW, CSAC
Location Address500 RIVERVIEW AVEWaukesha, WI 53188-3632
Mailing Address514 Riverview AveWaukesha, WI 53188-3632 · (262) 548-7666 · Fax (262) 548-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 30, 2008
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1023268737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 7943-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15406-132 (WI), 15435-131 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 127337 (WI)
500 RIVERVIEW AVE, Waukesha, WI 53188

Other Names 1

Former Name (1)Ms. Lori B Widra Lcsw, Csac

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lori B Mcilroy Lcsw, Csac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103057104
PECOS Enrollment IDI20140314000878
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lori Mcilroy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
514 RIVERVIEW AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 80 clinicians in this Medicare group
Family Medicine
721 AMERICAN AVE, SUITE 310
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Occupational Therapist (Pediatrics)
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Psychiatry & Neurology (Psychiatry)
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Social Worker
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Counselor (Addiction (Substance Use Disorder))
500 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
500 RIVERVIEW AVE
WAUKESHA, WI 53188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Mcilroy's NPI number?

The NPI number for Lori Mcilroy is 1023268737. It was assigned to this individual provider in the NPPES registry on September 30, 2008. The provider is also known as Ms. Lori B Widra Lcsw, Csac.

Where is Lori Mcilroy located?

Lori Mcilroy practices at 500 Riverview Ave, Waukesha, WI 53188. The listed phone number is (262) 548-7655.

What is Lori Mcilroy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lori Mcilroy enrolled in Medicare?

Yes. Lori Mcilroy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lori Mcilroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Mcilroy reassigns Medicare benefits to 2 organizations: Waukesha County (Waukesha, WI) and Prohealth Medical Group Inc (Waukesha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Mcilroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Mcilroy accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list Lori Mcilroy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Mcilroy was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.