Provider Demographics
NPI:1265978019
Name:REGIER, MICHAEL G (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:G
Last Name:REGIER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 E 17TH AVE
Mailing Address - Street 2:MAIL STOP C-222
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2535
Mailing Address - Country:US
Mailing Address - Phone:303-724-9066
Mailing Address - Fax:303-724-9161
Practice Address - Street 1:13121 E 17TH AVE
Practice Address - Street 2:MAIL STOP C-222
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2535
Practice Address - Country:US
Practice Address - Phone:303-724-9066
Practice Address - Fax:303-724-9161
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical