Provider Demographics
NPI:1518141530
Name:CORZO, CESAR (LCSW)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:CORZO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 S BALSAM WAY
Mailing Address - Street 2:UNIT 524
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1896
Mailing Address - Country:US
Mailing Address - Phone:720-334-9827
Mailing Address - Fax:719-218-9994
Practice Address - Street 1:8565 SOUTH POPLAR WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80130
Practice Address - Country:US
Practice Address - Phone:720-348-2800
Practice Address - Fax:720-348-2899
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical