Miguel Angel Corzo, LCSW
Social Worker, Clinical in Las Vegas, NV. Individual provider (NPI-1).
NPI number1417200767
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1417200767
- Entity type
- Individual (NPI-1)
- Name
- Mr. Miguel Angel Corzo
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2012
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11385-C | NV | Yes |
| 104100000X | Social Worker | IC-1930 | NV | |
| 104100000X | Social Worker | 9426-M | NV |
Practice location
2500 Chandler Ave Ste 3Las Vegas, NV 89120-4064
Phone 725-204-8809
Mailing address
6254 Angora Peak LnLas Vegas, NV 89115-1662
Other practice locations
4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Las Vegas, NV 89119-0847
Phone 702-848-1696
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