Ellen Y Goodloe, LCSW | |
5577 Bulls Bay Dr, Virginia Beach, VA 23462-7189 | |
(757) 581-7957 | |
Not Available |
Full Name | Ellen Y Goodloe |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5577 Bulls Bay Dr, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558075341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00992252 (Colorado) | Primary |
1041C0700X | Social Worker - Clinical | 0904014392 (Virginia) | Secondary |
Entity Name | Black Pine Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578014395 PECOS PAC ID: 0345592226 Enrollment ID: O20181003001823 |
Mailing Address | Practice Location Address |
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Ellen Y Goodloe, LCSW 5577 Bulls Bay Dr, Virginia Beach, VA 23462-7189 Ph: (757) 581-7957 | Ellen Y Goodloe, LCSW 5577 Bulls Bay Dr, Virginia Beach, VA 23462-7189 Ph: (757) 581-7957 |
Erin Mcmenamin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1909 Split Rail Dr, Virginia Beach, VA 23453 Phone: 215-480-8888 | |
Mr. Garry Strawn Cofield, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 Donna Dr Ste 102, Virginia Beach, VA 23451 Phone: 757-425-5050 Fax: 757-425-1389 | |
Ms. Susan O Giddings, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 103, Virginia Beach, VA 23452 Phone: 757-486-6955 Fax: 757-486-3258 | |
Margaret Lubas, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4509 Whitechapel Dr, Virginia Beach, VA 23455 Phone: 757-460-4655 | |
Chavonne Sharese Grant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1832 Kempsville Rd, Ste 112 #347, Virginia Beach, VA 23464 Phone: 718-872-8833 | |
Ms. Ingrid Kimberlee Chucker, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6477 College Park Sq, Suite 302, Virginia Beach, VA 23464 Phone: 757-424-0100 Fax: 757-424-5623 | |
Laurie Grant, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1072 Laskin Rd Ste 104, Virginia Beach, VA 23451 Phone: 757-648-8605 Fax: 757-648-1363 |