Individual provider Active NPI

Katherine Zerull

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1639426455
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008022 Issued in IA
Practice address
808 5TH Ave
Des Moines, IA 50309-1307
Phone
(515) 244-2267
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008022 IA Primary

Addresses

Primary practice location

808 5TH Ave
Des Moines, IA 50309-1307

Mailing address

808 5TH Ave
Des Moines, IA 50309-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160525000946 IA Practitioner - Clinical Social Worker 0042509481 Reassigns benefits to 2 organizations
I20160622001855 IL Practitioner - Clinical Social Worker 0042509481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassion Counseling Inc.Group PAC ID 4587826540, 4 clinicians

Practice addresses (Care Compare)

2435 Kimberly Rd
Suite 145N
Bettendorf, IA 52722-3592
Phone (563) 355-0780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008022IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Clinical CurrentSince May 9, 2016 Accepting new patients
Compassion Counseling Inc. Clinical CurrentSince Jan 22, 2025 Accepting new patients
Trinity Medical Center CurrentSince May 9, 2016 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Dec 31, 2021 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Dec 31, 2021 Accepting new patients

Locations

2435 Kimberly Rd
Ste 145
Bettendorf, IA 52722
Phone (563) 355-0780

2435 Kimberly Rd
Ste 145N
Bettendorf, IA 52722
Phone (563) 355-0780

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

3426 N Port Dr
Muscatine, IA 52761
Phone (563) 262-4101

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

Organizations & group practices 5

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1639426455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307",
            "telephone_number": "515-244-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERULL",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.