MISS ELIZABETH GOODMAN (LCSW) – Clinical Social Worker, NPI 1750826103

Clinical Social Worker

MISS ELIZABETH GOODMAN (LCSW) is a healthcare provider. based in Grayslake, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.018965 (IL). The NPI Number for MISS ELIZABETH GOODMAN (LCSW) is 1750826103

Main info

Female

Sole Proprietor

12 Years Of Experience

Accepts Medicare Assignment

Name

MISS ELIZABETH GOODMAN (LCSW)

NPI

1750826103

Phone

(847) 548-0492

Address

1170 E BELVIDERE RD

Enumeration Date

21 December 2016

Last Update Date

2 June 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3126005061

Graduation Year

2014 (12 years ago)

PAC ID

1557728813

Group Practice PAC ID

8729439914

Professional Enrollment ID

I20230706002699

Address ID

IL601062126BE2XXXXSTXX400

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:9State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Loading map...

Provider Addresses for MISS ELIZABETH GOODMAN (LCSW)

1170, East Belvidere Road, Grayslake, Lake County, Illinois, 60030, United States
SUITE 201
GRAYSLAKE, IL 600302061
Phone: (847) 548-0492
Fax: (847) 548-0537
Type: Location
1038, Wayne Avenue, Deerfield, Lake County, Illinois, 60015, United States
DEERFIELD, IL 600152825
Phone: (502) 544-2192
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230706002699	I	Clinical Social Worker	IL	TBD
I20251119002302	I	Clinical Social Worker	CO	TBD
I20251121003706	I	Clinical Social Worker	MD	TBD
I20251218002928	I	Clinical Social Worker	VA	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60030)

Loading plans...

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: 8729439914View full group profile