Gary W.Gossage, Licensed Clinical Social Work, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GARY W.GOSSAGE, LICENSED CLINICAL SOCIAL WORK, LLC

Practice address

1910 Payton Cir
Colorado SPGS, CO 80915-1327

Phone

(701) 400-2592

NPI assigned

Jul 30, 2019

Last updated

Jul 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene G Gossage

Title

Office Manager

Phone

(701) 400-2592

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary W Gossage, MSW, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1174675425
  NPD

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1780238469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PAYTON CIR",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809151327",
            "telephone_number": "701-400-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PAYTON CIR",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809151327",
            "telephone_number": "701-400-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W.GOSSAGE, LICENSED CLINICAL SOCIAL WORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "GOSSAGE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-400-2592"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37220241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Farineau
• Kristina Fodor, PA-C
• Rikki Garcia
• James Garofalo, MA, CAC II
• Anthony Garperio
• Anthony Gauthier, MS, LPCC, ADDC
• Hailee Gertsch
• Cheyenne-Austin Gonzalez
• Good Therapy Colorado LLC
• Brent Grimmett

• Clinical Social Worker in Colorado SPGS, CO
• Providers in Colorado SPGS, 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 Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.