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CLAIRE ELIZABETH RIDDIOUGH MSW, LCSW
NPI 1427549815
Social Worker - Clinical in Verona, WI

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
200 W VERONA AVE, VERONA, WI 53593(608) 347-5746 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2023, May 22, 2018 (2 updates tracked since 2018).

About Claire Elizabeth Riddiough Msw, Lcsw NPPES

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

CLAIRE ELIZABETH RIDDIOUGH MSW, LCSW (NPI 1427549815) is an individual clinical provider in Verona, Wisconsin, licensed in Wisconsin (9634) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427549815
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCLAIRE ELIZABETH RIDDIOUGHCredential: MSW, LCSW
Location Address200 W VERONA AVEVerona, WI 53593-1394
Mailing Address200 W Verona AveVerona, WI 53593-1394 · (608) 291-6184
Phone(608) 347-5746
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2018
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
✔ NPI 1427549815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9634
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
200 W VERONA AVE, Verona, WI 53593
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and more.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

Claire Elizabeth Riddiough Msw, Lcsw 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 ID9638512650
PECOS Enrollment IDI20260129000615
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 Reassignment

Medicare enrollment records show Claire Riddiough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pjs LLC
20 mi
Mental Health (Including Community Mental Health Center)
787 LOIS DR
Sun Prairie, WI 53590
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1871312884 (608) 444-0585

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 53593 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 10

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

WINDING PATH PSYCHOTHERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 354-2397
MRS. CLAIRE ARENA LCSW, MPH
Social Worker (Clinical)
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 247-5247
LAURA ANN ALMOND M.ED., CSAC
Counselor (Professional)
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 490-5343
SHEILA JO OHNSTAD JOHNSON LMFT, CSAC
Marriage & Family Therapist
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 354-2397
ERICA LANCASTER LPC
Counselor (Professional)
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 999-4781
BETHANY KAPELLEN LPC
Counselor (Professional)
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 609-0582
AMY LYNN HOLDER MS, LPC
Counselor (Professional)
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 218-1496
KATHERINE GOERMAN MS LMFT
Marriage & Family Therapist
200 W VERONA AVE
VERONA, WI 53593
Dane County (608) 254-9539

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 Claire Riddiough's NPI number?

The NPI number for Claire Riddiough is 1427549815. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Claire Riddiough located?

Claire Riddiough practices at 200 W Verona Ave, Verona, WI 53593. The listed phone number is (608) 347-5746.

What is Claire Riddiough's specialty?

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

Is Claire Riddiough enrolled in Medicare?

Yes. Claire Riddiough 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 organization bills Medicare for Claire Riddiough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Riddiough reassigns Medicare benefits to Pjs LLC (Sun Prairie, WI). The 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 Claire Riddiough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Riddiough accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and UnitedHealthcare list Claire Riddiough 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 Claire Riddiough was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.