Individual provider Active NPI

Gloria Rumph, LISW

  • Social Worker
  • Clinton, IA
National Provider Identifier
1295839223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00895 Issued in IA
Practice address
1523 S Bluff Blvd
Clinton, IA 52732-6549
Phone
(563) 243-6054
Fax
(563) 243-6828
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00895 IA Primary

Addresses

Primary practice location

1523 S Bluff Blvd
Clinton, IA 52732-6549

Mailing address

1523 S Bluff Blvd
Clinton, IA 52732-6549
Phone (563) 243-6054

Other identifiers 3

IdentifierTypeStateIssuer
52017-01OtherIAMOUNT CARMEL EAP
IP 157255OtherIAMAGELLAN
24784OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000725 IA Practitioner - Clinical Social Worker 9335118025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00895IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Ranch CurrentSince May 25, 2025 Accepting new patients
Cornerstone Wellness Center LLC CurrentSince Sep 28, 2006 Accepting new patients

Locations

1523 S Bluff Blvd
Clinton, IA 52732
Phone (563) 243-6054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295839223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPH",
        "first_name": "GLORIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT CARMEL EAP",
            "identifier": "52017-01",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IP 157255",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24784",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.