Velda S. Wiltz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3755 Issued in LA

Practice address

4727 Revere Ave
Baton Rouge, LA 70808-3168

Phone

(225) 924-0123

Fax

(225) 924-5455

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Service of Greater Baton RougeGroup PAC ID 9032452636, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: velda.wiltz.1@24298.direct.athenahealth.com

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.

• Family Service of Greater Baton Rouge

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1891878435
  Medicare reassignment Care Compare group NPD
• Beyond Intensive Outpatient Program, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1053029678
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1770763229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 REVERE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083168",
            "telephone_number": "225-924-0123",
            "fax_number": "225-924-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 REVERE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083168",
            "telephone_number": "225-924-0123",
            "fax_number": "225-924-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "VELDA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasia Roshay Wilson, P.L.P,C
• Thessalonia Wilson
• Vashon Wilson, MHS
• Venessa Nacole Wilson
• Terri Todd Wilton, LOTR
• Marcus Damon Wimberley, PA-C
• Angelique Alegria Wimberly, P.A.
• Alicia Michele Wimley
• Winborn Medical LLC
• Ricky Winburn, M.D.

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.