Healthcare Provider Details

I. General information

NPI: 1194386714
Provider Name (Legal Business Name): VICTORIA MAE RACHEL ZIELINSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PRINTERS PKWY
COLORADO SPRINGS CO
80910-3190
US

IV. Provider business mailing address

340 PRINTERS PKWY
COLORADO SPRINGS CO
80910-3190
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-7869
  • Fax: 719-344-7879
Mailing address:
  • Phone: 719-344-7869
  • Fax: 719-633-5492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW09926003
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: