Healthcare Provider Details

I. General information

NPI: 1982807640
Provider Name (Legal Business Name): ANN L LEFEVRE PHD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 10/27/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 S MAIN ST STE 200
AURORA CO
80016-5361
US

IV. Provider business mailing address

2000 S COLORADO BLVD TOWER ONE, STE 2000-1111
DENVER CO
80222
US

V. Phone/Fax

Practice location:
  • Phone: 650-383-0319
  • Fax:
Mailing address:
  • Phone: 303-565-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number80405
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015295
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09925661
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: