SUSANNE ELISABETH RIDLEY (LCSW) – Clinical Social Worker, NPI 1124724158

SUSANNE ELISABETH RIDLEY (LCSW) is a healthcare provider. based in Casper, Wyoming. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for SUSANNE ELISABETH RIDLEY (LCSW) is 1124724158

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE ELISABETH RIDLEY (LCSW)
NPI
1124724158
Phone
(307) 233-6000
Address
5000 BLACKMORE RD
Enumeration Date
1 February 2023
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072336000
Graduation Year
2022 (4 years ago)
PAC ID
5496192270
Group Practice PAC ID
3375454705
Professional Enrollment ID
I20240328002542
Address ID
WY826093345CA5000XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

227 CLINICAL SOCIAL WORKER in WY

Provider Addresses for SUSANNE ELISABETH RIDLEY (LCSW)

  • 5000 BLACKMORE RD

    CASPER, WY 826093345

    Phone: (307) 233-6000

    Fax: (307) 233-6089

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240328002542IClinical Social WorkerWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375454705View full group profile
NameSpecialtyState
Physician AssistantWY
Nurse PractitionerWY
Clinical Social WorkerWY
Physician AssistantWY
Nurse PractitionerWY
Nurse PractitionerWY
Nurse PractitionerWY
Family PracticeWY
Nurse PractitionerWY
Physician AssistantWY

Reviews

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Frequently asked questions

What number should I use to identify SUSANNE ELISABETH RIDLEY (LCSW) for billing?
Administrative and clinical systems typically use NPI 1124724158 for SUSANNE ELISABETH RIDLEY (LCSW).
Should I treat SUSANNE ELISABETH RIDLEY (LCSW) as an active provider?
Patients and plans typically see SUSANNE ELISABETH RIDLEY (LCSW) as active in the national extract.
What services align with SUSANNE ELISABETH RIDLEY (LCSW)'s listing?
SUSANNE ELISABETH RIDLEY (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to SUSANNE ELISABETH RIDLEY (LCSW)?
The directory associates SUSANNE ELISABETH RIDLEY (LCSW) with Casper, Wyoming. Check all listed addresses for suites or satellite offices.
Why is information missing for SUSANNE ELISABETH RIDLEY (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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