Gary W Gossage, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW00984016 Issued in CO

Practice address

1910 Payton Circle
Colorado Springs, CO 80915-1327

Phone

(701) 400-2592

Fax

(719) 637-1554

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary W.Gossage, Licensed Clinical Social Work, LLC

  • Clinical Social Worker
  • Colorado SPGS, CO
  • NPI 1780238469
  NPD
• Associates for Wellness, LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1215088901

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174675425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PAYTON CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151327",
            "telephone_number": "701-400-2592",
            "fax_number": "719-637-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PAYTON CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151327",
            "telephone_number": "701-400-2592",
            "fax_number": "719-637-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSAGE",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00984016",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "984016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37220241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Andre Goscin, M.D.
• Lisa Gosnell-Binkley, CAC III
• Gospel Homes for Women
• Kambrayah Goss
• Tonya Goss, RDH
• Elizabeth Gossenauer
• Martin H Gossenauer, DDS
• Shauna Gossenauer, MA, LPC, NCC
• Joshua Gotlib, D.D.S, M.S.
• Darragh Alicia Gott, FNP-BC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.