MEDICARE: LLOYD GREENFIELD, LCSW, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	09925231	CO

General Provider Information

NPI Number	:	1174023105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LLOYD GREENFIELD, LCSW, LLC

Provider Business Mailing Address
First Line	:	2301 E PIKES PEAK AVE STE 203
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8007
Country	:	US
Telephone Number	:	719-634-5800
Fax Number	:	719-578-5596

Provider Business Practice Location Address
First Line	:	2301 E PIKES PEAK AVE STE 203
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8007
Country	:	US
Telephone Number	:	719-634-5800
Fax Number	:	719-578-5596

Authorized Official
Title or Position	:	PSYCHOTHERAPIES
Name	:	LLOYD GREENFIELD
Credential	:	LCSW
Telephone Number	:	719-634-5800

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	02/16/2018

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