=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184816571
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL JOSEPH GYORFFY LCSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2007
-----------------------------------------------------
Last Update Date | 07/24/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6080 W 92ND AVE STE 1000
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80031-2935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-429-9311
-----------------------------------------------------
Fax | 303-429-9399
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 750 W HAMPDEN AVE. SUITE 105
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80110-2167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-974-7464
-----------------------------------------------------
Fax | 303-953-7274
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 3107
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 09924816
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------