Individual provider Active NPI

Victoria Mae Rachel Zielinski, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1194386714
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09926003 Issued in CO
Practice address
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone
(719) 344-7869
Fax
(719) 344-7879
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW09926003 CO Primary

Addresses

Primary practice location

340 Printers Pkwy
Colorado Springs, CO 80910-3190

Mailing address

340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 344-7869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002600 CO Practitioner - Clinical Social Worker 7618202482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vista Community Health CentersGroup PAC ID 4688583974, 126 clinicians

Practice addresses (Care Compare)

1740 Pepperwood Dr
Colorado Springs, CO 80910-1525
Phone (719) 922-6394

255 S Union Blvd
Union Family Health
Colorado Springs, CO 80910-3124
Phone (719) 630-6440

2828 International Cir
Colorado Springs, CO 80910-3127

340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700

350 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09926003COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Apr 27, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 27, 2020 Accepting new patients

Locations

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2828 International Cir
Ste 160
Colorado Springs, CO 80910
Phone (719) 344-6176

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

Interoperability endpoints

  • Direct secure messaging: victoria.mikolajczyk.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1194386714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-344-7869",
            "fax_number": "719-633-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-344-7869",
            "fax_number": "719-344-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "VICTORIA",
        "middle_name": "MAE RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09926003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.