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ELLEN Y GOODLOE LCSW
NPI 1558075341
Social Worker - Clinical in Virginia Beach, VA

Active since January 06, 2023PECOS Enrolled
5577 BULLS BAY DR, VIRGINIA BEACH, VA 23462(757) 581-7957 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ellen Y Goodloe Lcsw NPPES

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

ELLEN Y GOODLOE LCSW (NPI 1558075341) is an individual clinical provider in Virginia Beach, Virginia, licensed in Colorado (00992252) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1558075341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN Y GOODLOECredential: LCSW
Location Address5577 BULLS BAY DRVirginia Beach, VA 23462-7189
Mailing Address5577 Bulls Bay DrVirginia Beach, VA 23462-7189 · (757) 581-7957
Phone(757) 581-7957
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1558075341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CO · 00992252✔ Licensed in VA · 0904014392
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.
5577 BULLS BAY DR, Virginia Beach, VA 23462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Y Goodloe Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002265311
PECOS Enrollment IDI20231212003249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Goodloe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Black Pine Counseling Center
19 mi
Professional
727 J CLYDE MORRIS BLVD STE A
Newport News, VA 23601
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1578014395 (757) 595-3455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Goodloe's NPI number?

The NPI number for Ellen Goodloe is 1558075341. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Ellen Goodloe located?

Ellen Goodloe practices at 5577 Bulls Bay Dr, Virginia Beach, VA 23462. The listed phone number is (757) 581-7957.

What is Ellen Goodloe's specialty?

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

Is Ellen Goodloe enrolled in Medicare?

Yes. Ellen Goodloe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Goodloe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Goodloe reassigns Medicare benefits to Black Pine Counseling Center (Newport News, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Goodloe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Goodloe was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.