Provider Demographics
NPI:1609432442
Name:PARKOFF, CHAYA DEVORAH (LSW)
Entity Type:Individual
Prefix:
First Name:CHAYA
Middle Name:DEVORAH
Last Name:PARKOFF
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7304 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6760
Mailing Address - Country:US
Mailing Address - Phone:972-740-6306
Mailing Address - Fax:
Practice Address - Street 1:7304 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6760
Practice Address - Country:US
Practice Address - Phone:972-740-6306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099260701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical