MEDICARE: ANN L LEFEVRE PHD LCSW

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	80405	CA
2	1041C0700X	Clinical Social Worker	CW015295	PA
3	1041C0700X	Clinical Social Worker	CSW.09925661	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000000	OTHER		N/A

General Provider Information

NPI Number	:	1982807640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L LEFEVRE PHD LCSW

Provider Business Mailing Address
First Line	:	2000 S COLORADO BLVD
Second Line	:	TOWER ONE, STE 2000-1111
City	:	DENVER
State	:	CO
Zip	:	80222
Country	:	US
Telephone Number	:	303-565-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105 S MAIN ST STE 200
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5361
Country	:	US
Telephone Number	:	650-383-0319
Fax Number	:

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	10/27/2023

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