Ami Gorsky-Zabukovic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW09925196 Issued in CO

Practice address

525 W 15TH St Ste 200
Pueblo, CO 81003-2716

Phone

(719) 296-6000

Fax

(719) 545-1146

NPI assigned

Mar 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Rose Counseling, LLCGroup PAC ID 3274065511, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Rose Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo West, CO
  • NPI 1962041350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1760624415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD STE 350",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082213",
            "telephone_number": "719-296-6000",
            "fax_number": "719-545-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 15TH ST STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032716",
            "telephone_number": "719-296-6000",
            "fax_number": "719-545-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 E Spaulding Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810071668",
            "country_code": "US",
            "telephone_number": "719-547-0962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORSKY-ZABUKOVIC",
        "first_name": "AMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09925196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Boree Goodwin, M.D.
• Sherrie Clardy Goorley, RN
• Robert Bruce Goos, M.D.
• Charles G. Gordon, D.D.S.
• Joshiah R. Gordon, D.O.
• Timmie Louise Goucher
• Andilee Gowin
• Glenna M Gowin
• Grace Care LLC
• Maksim Grachev, DO

• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, 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 Mar 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.