SHELBY PAIGE GOODMAN LCSW
NPI 1841024825
Social Worker - Clinical in Chicago, IL

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
2542 W NORTH AVE, CHICAGO, IL 60647(773) 365-7277 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelby Paige Goodman Lcsw NPPES

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

SHELBY PAIGE GOODMAN LCSW (NPI 1841024825) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.027086) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841024825
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY PAIGE GOODMANCredential: LCSW
Location Address2542 W NORTH AVEChicago, IL 60647-5216
Mailing Address2117 W Evergreen Ave Apt 1swChicago, IL 60622-3066 · (217) 779-1996
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1841024825 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 IL · 149.027086
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.
2542 W NORTH AVE, Chicago, IL 60647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Paige Goodman 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 ID4880174150
PECOS Enrollment IDI20260216002947
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 Reassignments

3

Medicare enrollment records show Shelby Goodman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 16 clinicians in this Medicare group
Behavioral Neurology & Neuropsychiatry
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 25 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 39 clinicians in this Medicare group

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 60647 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 20

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

Counselor (Professional)
2542 W NORTH AVE, C/O COMMUNITY COUNSELING CENTERS OF CHICAGO
CHICAGO, IL 60647
Counselor (Professional)
2542 W NORTH AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Psychiatry & Neurology (Psychiatry)
2542 W NORTH AVE
CHICAGO, IL 60647
Counselor
2542 W NORTH AVE
CHICAGO, IL 60647
Community/Behavioral Health
2542 W NORTH AVE
CHICAGO, IL 60647
Marriage & Family Therapist
2542 W NORTH AVE
CHICAGO, IL 60647

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 Shelby Goodman's NPI number?

The NPI number for Shelby Goodman is 1841024825. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Shelby Goodman located?

Shelby Goodman practices at 2542 W North Ave, Chicago, IL 60647. The listed phone number is (773) 365-7277.

What is Shelby Goodman's specialty?

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

Is Shelby Goodman enrolled in Medicare?

Yes. Shelby Goodman 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.

Which organizations bill Medicare for Shelby Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Goodman reassigns Medicare benefits to 3 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Rebman Bh LLC (New York, NY) and Dr Rebman Medical PA (Miami, FL). Each 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 Shelby Goodman'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 Shelby Goodman was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.