MARY C EBERLE (NPI# 1154705002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154705002 |
| Entity Type | Individual |
| Full Name | MARY C EBERLE |
| Credential | CSW |
| Practice Address |
1116 N 16th St Lafayette IN 47904-2119 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 |
| Practice Telephone | 7654236300 |
| Mailing Telephone | 3178658988 |
| Mailing Fax Number | 3178598590 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2017-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007491A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 34007491A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205265170 | Mary C Eberle | Social Worker | 540 Water St Ste 202, Ketchikan, AK 99901-6378 | 2013-11-01 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| 1730169236 | Mary E Eberle | Pathology | 3615 19th St, Lubbock, TX 79410-1203 | 2006-01-19 |
| Street Address |
1116 N 16TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370991 | Corby Louise Thiel | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904-2119 | 2006-03-14 |
| 1790334118 | Cody Levi Nelson | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904-2119 | 2019-09-09 |
| 1225500747 | Genoia Beth Segal | Registered Nurse | 1116 N 16th St, Lafayette, IN 47904-2119 | 2018-12-21 |
| 1417444944 | Ashley Turner | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904 | 2018-04-19 |
| 1821596040 | Elizabeth Ann Lana | Registered Nurse | 1116 N 16th St, Lafayette, IN 47904-2119 | 2018-01-23 |
| 1255846697 | Kelli Ann Conlon | Social Worker | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-12-07 |
| 1750896569 | Mick A Schoenradt | Counselor | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-12-04 |
| 1255869319 | Amanda Marie Crosby | Dietitian, Registered | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-06-01 |
| 1962939652 | Anne Caroline Johnson | Physical Therapist | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-05-12 |
| 1871986661 | Autumn Wall | Social Worker | 1116 N 16th St, Lafayette, IN 47904-2119 | 2015-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.