MEDICARE: KIMBERLY SCORZA MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	05504	IA

General Provider Information

NPI Number	:	1457660144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SCORZA MSW

Provider Business Mailing Address
First Line	:	PO BOX 295
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51102-0295
Country	:	US
Telephone Number	:	712-255-4321
Fax Number	:	712-252-4743

Provider Business Practice Location Address
First Line	:	3901 GREEN AVE
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-5346
Country	:	US
Telephone Number	:	712-255-4321
Fax Number	:	712-252-4743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	10/27/2022

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Directions to “ KIMBERLY SCORZA MSW” Practice Location

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