Healthcare Provider Details

I. General information

NPI: 1831019645
Provider Name (Legal Business Name): NORA AGAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 KIMBERLY RD STE 270
BETTENDORF IA
52722-3509
US

IV. Provider business mailing address

1365 S GRANDVIEW AVE
DUBUQUE IA
52003-8732
US

V. Phone/Fax

Practice location:
  • Phone: 563-219-7700
  • Fax: 563-396-2060
Mailing address:
  • Phone: 319-826-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137753
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: