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CARLY R TEBO LCSW
NPI 1003396631
Social Worker - Clinical in Webster, WI

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
7818 MOLINE RD, WEBSTER, WI 54893(715) 866-8301(715) 866-8374 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Aug 14, 2018 (2 updates tracked since 2018).

About Carly R Tebo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY R TEBO LCSW (NPI 1003396631) is an individual clinical provider in Webster, Wisconsin, licensed in Wisconsin (9566) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003396631
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY R TEBOCredential: LCSW
Location Address7818 MOLINE RDWebster, WI 54893-8545
Mailing AddressPo Box 309Siren, WI 54872-0309 · (715) 349-7069 · Fax (888) 625-8634
Phone(715) 866-8301
Fax(715) 866-8374
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1003396631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9566
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 131124-121 (WI)
7818 MOLINE RD, Webster, WI 54893
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly R Tebo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517482078
PECOS Enrollment IDI20250416003254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54893 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORTNEY TRIPP MSED
Counselor (Professional)
7818 MOLINE RD
WEBSTER, WI 54893
Burnett County (715) 866-8301
LACEY M. FISK LCSW
Social Worker (Clinical)
7818 MOLINE RD
WEBSTER, WI 54893
Burnett County (715) 866-8301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Tebo's NPI number?

The NPI number for Carly Tebo is 1003396631. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Carly Tebo located?

Carly Tebo practices at 7818 Moline Rd, Webster, WI 54893. The listed phone number is (715) 866-8301.

What is Carly Tebo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carly Tebo enrolled in Medicare?

Yes. Carly Tebo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carly Tebo accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and Security Health Plan list Carly Tebo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Tebo was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.