Healthcare Provider Details

I. General information

NPI: 1184816571
Provider Name (Legal Business Name): MICHAEL JOSEPH GYORFFY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 07/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 W 92ND AVE STE 1000
WESTMINSTER CO
80031-2935
US

IV. Provider business mailing address

750 W HAMPDEN AVE. SUITE 105
ENGLEWOOD CO
80110-2167
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-9311
  • Fax: 303-429-9399
Mailing address:
  • Phone: 720-974-7464
  • Fax: 303-953-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3107
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09924816
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: