ELLEN KATHLEEN LABGOLD LCSW
NPI 1104391622
Social Worker - Clinical in Leesburg, VA

Q: What is Ellen Labgold's NPI number?

The NPI number for Ellen Labgold is 1104391622. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Q: What is Ellen Labgold's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Ellen Labgold enrolled in Medicare?

No. Ellen Labgold has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ellen Labgold was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2018Opted out of Medicare · through Jul 1, 2028

102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176(703) 771-5100(703) 777-0170 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Oct 11, 2018 (2 updates tracked since 2018).

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About Ellen Kathleen Labgold Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN KATHLEEN LABGOLD LCSW (NPI 1104391622) is an individual clinical provider in Leesburg, Virginia, licensed in Virginia (0904012586) and active in the NPI registry since October 2018. She has opted out of Medicare through July 1, 2028 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104391622

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELLEN KATHLEEN LABGOLDCredential: LCSW

Location Address102 HERITAGE WAY NE STE 302Leesburg, VA 20176-4544

Mailing AddressPo Box 7400Leesburg, VA 20177-7400 · (703) 771-5100 · Fax (703) 777-0170

Phone(703) 771-5100

Fax(703) 777-0170

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 11, 2018

Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1104391622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904012586

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

102 HERITAGE WAY NE STE 302, Leesburg, VA 20176

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ellen Kathleen Labgold Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

118 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE CAMPBELL

Case Manager/Care Coordinator