Provider Demographics
NPI:1457660144
Name:SCORZA, KIMBERLY (MSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:SCORZA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51102-0295
Mailing Address - Country:US
Mailing Address - Phone:712-255-4321
Mailing Address - Fax:712-252-4743
Practice Address - Street 1:3901 GREEN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5346
Practice Address - Country:US
Practice Address - Phone:712-255-4321
Practice Address - Fax:712-252-4743
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05504104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker