Provider Demographics
NPI:1154405520
Name:MARKOVICH, RONALD PAUL (MSW LCSW)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:PAUL
Last Name:MARKOVICH
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:MR
Other - First Name:RONALD
Other - Middle Name:
Other - Last Name:MARKOVICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1290 CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-7117
Mailing Address - Country:US
Mailing Address - Phone:303-617-2300
Mailing Address - Fax:
Practice Address - Street 1:11059 E BETHANY DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2622
Practice Address - Country:US
Practice Address - Phone:303-617-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8765741041C0700X
103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical