Marlene Marie Hibma, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00802 Issued in IA

Practice address

2611 Washington Street
Pella, IA 50219

Phone

(641) 628-9599

Fax

(641) 621-1493

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marlene Johnson Hibma Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710101936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-628-9599",
            "fax_number": "641-621-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-628-9599",
            "fax_number": "641-621-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBMA",
        "first_name": "MARLENE",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "HIBMA",
            "middle_name": "JOHNSON",
            "credential": "LISW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hearthstone, a Ministry of Wesleylife, LLC
• Hearthstone, a Ministry of Wesleylife, LLC
• Anne Hellbusch
• Lee Frederic Henry, DO
• Amy Jean Herdegen
• Homebridge Iowa
• Joshua D Hones, DDS
• Julie Lynn Hooyer, LISW
• Jason Hopp
• Auston H Horras, RN

• Social Worker in Pella, IA
• Providers in Pella, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.