Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Delise Wilridge

Individual provider Social Worker · NPI 1790417863

Delise Wilridge is a Clinical Social Worker in Lake Charles, Louisiana. Qualified in 2017, 9 years ago. Practices with Mdb Behavioral Health Services LLC, a 197-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2022

Practice location Address checks out

4105 Kirkmanst St
Lake Charles, LA 70607
Phone: (337) 475-8022
Fax: (337) 475-8054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 14675 (LA)

Record details

NPI number1790417863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mdb Behavioral Health Services Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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