MEDICARE: KORIE SCOTT LCSW

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
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1871067769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORIE SCOTT LCSW

Provider Business Mailing Address
First Line	:	5130 E MAIN ST
Second Line	:
City	:	BATAVIA
State	:	NY
Zip	:	14020-3444
Country	:	US
Telephone Number	:	585-344-1421
Fax Number	:

Provider Business Practice Location Address
First Line	:	5130 E MAIN ST
Second Line	:
City	:	BATAVIA
State	:	NY
Zip	:	14020-3444
Country	:	US
Telephone Number	:	585-344-1421
Fax Number	:

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

Provider Enumeration Date	:	01/14/2019
Last Update Date	:	03/18/2026

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Directions to “ KORIE SCOTT LCSW” Practice Location

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