Individual provider Active NPI

Gloria Louise Zukoski, LCSW

  • Clinical Social Worker
  • Victor, NY
National Provider Identifier
1497273643
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092205 Issued in NY
Practice address
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone
(585) 398-8835
Fax
(585) 398-7376
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101172-1 NY
Clinical Social Worker 1041C0700X 092205 NY Primary

Addresses

Primary practice location

6539 Anthony Dr Ste a
Victor, NY 14564-1441

Mailing address

14014 Route 31
Albion, NY 14411-9301
Phone (716) 499-0197

Other practice location 1

14014 Route 31
Albion, NY 14411-9301
Phone (585) 589-7066

Other names 1

  • Miss Gloria Louise Rohwer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220214000266 NY Practitioner - Clinical Social Worker 2466845524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101172-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans County Treasurer Office CurrentSince Feb 8, 2022 Accepting new patients
Orleans County Department of Mental Health CurrentSince Feb 8, 2022 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1497273643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 ROUTE 31",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119301",
            "telephone_number": "716-499-0197",
            "fax_number": "585-589-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641441",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14014 Route 31",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NY",
            "postal_code": "144119301",
            "country_code": "US",
            "telephone_number": "585-589-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUKOSKI",
        "first_name": "GLORIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "101172-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "ROHWER",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.