Active NPI
Ronald Merle Eberline I
- Clinical Social Worker
- Marshalltown, IA
National Provider Identifier
1780182113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02525
- Practice address
- 2932 240TH St
Marshalltown, IA 50158-8984 - Phone
- (641) 752-3912
- Fax
- (641) 752-3639
- NPI assigned
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02525 | IA | Primary |
Addresses
Primary practice location
2932 240TH St
Marshalltown, IA 50158-8984
Mailing address
2932 240TH St
Marshalltown, IA 50158-8984
Phone (641) 752-3912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quakerdale Family Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Quakerdale
- Voluntary or Charitable Agency
- Marshalltown, IA
- NPI 1689707622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1780182113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 240TH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501588984",
"telephone_number": "641-752-3912",
"fax_number": "641-752-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 240TH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501588984",
"telephone_number": "641-752-3912",
"fax_number": "641-752-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERLINE",
"first_name": "RONALD",
"middle_name": "MERLE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "02525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.