Individual provider Active NPI

Claire Elizabeth Riddiough, MSW, LCSW

  • Clinical Social Worker
  • Verona, WI
National Provider Identifier
1427549815
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9634 Issued in WI
Practice address
200 W Verona Ave
Verona, WI 53593-1394
Phone
(608) 347-5746
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X WI
Clinical Social Worker 1041C0700X 9634 WI Primary

Addresses

Primary practice location

200 W Verona Ave
Verona, WI 53593-1394

Mailing address

200 W Verona Ave
Verona, WI 53593-1394
Phone (608) 291-6184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129000615 WI Practitioner - Clinical Social Worker 9638512650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PJS, LLCGroup PAC ID 7618404385, 5 clinicians

Practice addresses (Care Compare)

787 Lois Dr
Sun Prairie, WI 53590-1177
Phone (608) 444-0585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9634WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PJS LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

787 Lois Dr
Sun Prairie, WI 53590
Phone (608) 299-9697

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1427549815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-291-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-347-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDIOUGH",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.