Elizabeth Goodman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018965 Issued in IL

Practice address

1170 E Belvidere Rd
Suite 201
Grayslake, IL 60030-2061

Phone

(847) 548-0492

Fax

(847) 548-0537

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

Yes

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 IL, CO, MD, VA4 enrollments

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 4

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ghadeer Counseling Services PCGroup PAC ID 8729439914, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ghadeer Counseling Services PC

  • Psychiatry Physician
  • Addison, IL
  • NPI 1770262693
  Medicare reassignment Care Compare group NPD
• Jessica N Baker PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Bensenville, IL
  • NPI 1811747298
  Medicare reassignment NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  IL

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, VA

  Medicare reassignment NPD
• Jessica N Baker PLLC

  • Mental Health Counselor
  • Bensenville, IL
  • NPI 1528753852
  NPD
• North Suburban Counseling, PC

  • Counselor
  • Grayslake, IL
  • NPI 1881633857
  NPD (past)
• Thurston & Associates

  • Professional Counselor
  • Grayslake, IL
  • NPI 1417264698
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1750826103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 WAYNE AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152825",
            "telephone_number": "502-544-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 201",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302061",
            "telephone_number": "847-548-0492",
            "fax_number": "847-548-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gonzales, LCSW, CADC
• Monica Haydee Gonzalez, RD,LDN,CDE
• Christine Goodfellow
• Goodman Mental Health LLC
• David Jonthan Goodman, PHD
• Gordon Health Foundation
• Amy L Grant, LCSW
• Grayslake CC District 46
• Grayslake Community High School District 127
• Grayslake Dental Crare

• Clinical Social Worker in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.