ROSAMOND ELLIS GOUDEAU (LCSW) – Clinical Social Worker, NPI 1467549790

ROSAMOND ELLIS GOUDEAU (LCSW) is a healthcare provider. based in Macon, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 001410 (GA). The NPI Number for ROSAMOND ELLIS GOUDEAU (LCSW) is 1467549790

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
ROSAMOND ELLIS GOUDEAU (LCSW)
NPI
1467549790
Phone
(478) 751-4446
Address
175 EMERY HIGHWAY
Enumeration Date
6 October 2006
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787421464
Graduation Year
1988 (38 years ago)
PAC ID
8224280664
Group Practice PAC ID
0749562619
Professional Enrollment ID
I20121210000394
Address ID
GA312042821MA179XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

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Provider Addresses for ROSAMOND ELLIS GOUDEAU (LCSW)

  • Middle Georgia Regional Commission, 175, Emery Highway, Macon, Bibb County, Georgia, 31217, United States

    MACON, GA 31217

    Phone: (478) 751-4446

    Fax: (478) 751-4444

    Type: Location

  • 179 PIERCE AVE

    MACON, GA 312042821

    Phone: (478) 742-1464

    Fax: (478) 742-1883

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121210000394IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour31629$0
90834Psychotherapy, 45 minutes4013$0
View full utilization report →

Insurance plans in this area (ZIP 31217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749562619View full group profile
NameSpecialtyState
Mental Health CounselorGA
-GA
Marriage And Family TherapistGA
Mental Health CounselorGA
Clinical Social WorkerGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

What is the standard ID for ROSAMOND ELLIS GOUDEAU (LCSW) in the U.S.?
In the U.S., ROSAMOND ELLIS GOUDEAU (LCSW) is identified by NPI 1467549790.
Is ROSAMOND ELLIS GOUDEAU (LCSW)'s NPI status active today?
Active status means ROSAMOND ELLIS GOUDEAU (LCSW)'s NPI record is not deactivated in the public file.
Which specialty label fits ROSAMOND ELLIS GOUDEAU (LCSW)?
NPPES ties ROSAMOND ELLIS GOUDEAU (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ROSAMOND ELLIS GOUDEAU (LCSW) tied to Macon, Georgia?
If you are local to Macon, Georgia, ROSAMOND ELLIS GOUDEAU (LCSW) may be relevant to your search.
Who maintains ROSAMOND ELLIS GOUDEAU (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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