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VICKI L. GOODWIN RN, LCSW
NPI 1649464199
Social Worker - Clinical in Chicago, IL

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
4636 N RAVENSWOOD AVE, SUITE 201, CHICAGO, IL 60640(847) 422-3565 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vicki L. Goodwin Rn, Lcsw NPPES

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

VICKI L. GOODWIN RN, LCSW (NPI 1649464199) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.012290) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1649464199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICKI L. GOODWINCredential: RN, LCSW
Location Address4636 N RAVENSWOOD AVE, SUITE 201Chicago, IL 60640-4581
Mailing Address5919 Church StMorton Grove, IL 60053-2473 · (847) 422-3565
Phone(847) 422-3565
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 28, 2007
Last NPPES UpdateJune 13, 2011
✔ NPI 1649464199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.012290
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.
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 041-187397 (IL)
4636 N RAVENSWOOD AVE, Chicago, IL 60640
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicki L. Goodwin Rn, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436221652
PECOS Enrollment IDI20080703000449
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 4

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

MS. REBECCA FRITZ LCSW
Social Worker (Clinical)
4636 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 609-1117
MARENA SABO, LCSW, PC
Social Worker (Clinical)
4636 N RAVENSWOOD AVE, SUITE 201
CHICAGO, IL 60640
Cook County (773) 341-4263
NANCY RANDLEMAN, LCSW, LTD.
Social Worker (Clinical)
4636 N RAVENSWOOD AVE, SUITE 201
CHICAGO, IL 60640
Cook County (773) 334-6160
INGRID E OSCARSSON LCPC
Counselor (Professional)
4636 N RAVENSWOOD AVE, SUITE 201
CHICAGO, IL 60640
Cook County (312) 925-9423

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 Vicki Goodwin's NPI number?

The NPI number for Vicki Goodwin is 1649464199. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Vicki Goodwin located?

Vicki Goodwin practices at 4636 N Ravenswood Ave Suite 201, Chicago, IL 60640. The listed phone number is (847) 422-3565.

What is Vicki Goodwin's specialty?

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

Is Vicki Goodwin enrolled in Medicare?

Yes. Vicki Goodwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vicki Goodwin was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.