Ellen Christina Schoville

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007112 Issued in IA

Practice address

106 16TH St SW
Waverly, IA 50677-2822

Phone

(319) 352-2630

Fax

(319) 352-0773

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Center Inc

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1245468032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "address_2": "106 16TH STREET SOUTHWEST",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506770848",
            "telephone_number": "319-352-2630",
            "fax_number": "319-352-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 16TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772822",
            "telephone_number": "319-352-2630",
            "fax_number": "319-352-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOVILLE",
        "first_name": "ELLEN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00079150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryka Incorporated
• Steffany Marie Sass, OTR
• Andrea Schaefer, RT
• Jennifer Kay Schillie
• Angela Lynn Schmitt, RN, NUTRITIONIST
• Kayleen Schulte, PHARM D
• Heather Lynn Schulze, PT
• John Gregory Schutz II, D.C.
• Andrea Renee Schwab Roe, LPT
• Stephanie A Schwinn, MSW

• Clinical Social Worker in Waverly, IA
• Providers in Waverly, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.