MEDICARE: MR. ARMAND DAVID LEBOVITS MSW, LCSW, CAC III

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	988011	CO

General Provider Information

NPI Number	:	1699985242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARMAND DAVID LEBOVITS MSW, LCSW, CAC III

Provider Business Mailing Address
First Line	:	1720 SOUTH BELLAIRE STREET
Second Line	:	SUITE 1208
City	:	DENVER
State	:	CO
Zip	:	80222-4336
Country	:	US
Telephone Number	:	303-759-1616
Fax Number	:	303-333-0593

Provider Business Practice Location Address
First Line	:	1720 SOUTH BELLAIRE STREET
Second Line	:	SUITE 1208
City	:	DENVER
State	:	CO
Zip	:	80222-4336
Country	:	US
Telephone Number	:	303-759-1616
Fax Number	:	303-333-0593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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