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DELISE WILRIDGE
NPI 1790417863
Social Worker in Lake Charles, LA

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
4105 KIRKMANST ST, LAKE CHARLES, LA 70607(337) 475-8022(337) 475-8054 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Nov 18, 2022 (2 updates tracked since 2022).

About Delise Wilridge NPPES

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

DELISE WILRIDGE (NPI 1790417863) is an individual social worker in Lake Charles, Louisiana, licensed in Louisiana (14675) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790417863
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDELISE WILRIDGE
Location Address4105 KIRKMANST STLake Charles, LA 70607
Mailing Address4105 Kirkmanst StLake Charles, LA 70607 · (337) 475-8022 · Fax (337) 475-8054
Phone(337) 475-8022
Fax(337) 475-8054
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2022
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1790417863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in LA · 14675
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4105 KIRKMANST ST, Lake Charles, LA 70607
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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

Delise Wilridge 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 ID2668958422
PECOS Enrollment IDI20260112001116
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 Delise Wilridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tiffany Roy Fnp LLC
61 mi
Rural Health
110 W. FIRST ST, SUITE A
Duson, LA 70529
  • Reassigned Medicare billing, Louisiana enrollment
  • 37 clinicians in this Medicare group
NPI 1376986257 (337) 873-8244
Complete Care Of St Gabriel LLC
126 mi
Rural Health
735 HIGHWAY 30 BLDG 1
Saint Gabriel, LA 70776
  • Reassigned Medicare billing, Louisiana enrollment
  • 10 clinicians in this Medicare group
NPI 1407679921 (601) 665-4162

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

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 Delise Wilridge's NPI number?

The NPI number for Delise Wilridge is 1790417863. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Delise Wilridge located?

Delise Wilridge practices at 4105 Kirkmanst St, Lake Charles, LA 70607. The listed phone number is (337) 475-8022.

What is Delise Wilridge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Delise Wilridge enrolled in Medicare?

Yes. Delise Wilridge 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 Delise Wilridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Delise Wilridge reassigns Medicare benefits to 2 organizations: Tiffany Roy Fnp LLC (Duson, LA) and Complete Care Of St Gabriel LLC (Saint Gabriel, LA). 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 Delise Wilridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Delise Wilridge was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.