Provider Demographics
NPI:1821186800
Name:SMORICK, SCOT (MSW)
Entity Type:Individual
Prefix:MR
First Name:SCOT
Middle Name:
Last Name:SMORICK
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8882 BLOSSOM AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-3336
Mailing Address - Country:US
Mailing Address - Phone:714-539-2529
Mailing Address - Fax:
Practice Address - Street 1:8882 BLOSSOM AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-3336
Practice Address - Country:US
Practice Address - Phone:714-539-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 239631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical