CARLY R TEBO (NPI# 1003396631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003396631 |
| Entity Type | Individual |
| Full Name | CARLY R TEBO |
| Credential | APSW |
| Practice Address |
7818 Moline Rd Webster WI 54893-8545 |
| Mailing Address |
Po Box 309 Siren WI 54872-0309 |
| Practice Telephone | 7158668301 |
| Practice Fax Number | 7158668374 |
| Mailing Telephone | 7153497069 |
| Mailing Fax Number | 8866258634 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 131124-121 | WI | Behavioral Health & Social Service Providers |
| Street Address |
7818 MOLINE RD |
| City | WEBSTER |
| State | WI |
| Zip Code | 54893-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457696288 | Lacey M. Fisk | Social Worker | 7818 Moline Rd, Webster, WI 54893-8545 | 2012-12-05 |
| 1548741259 | Rebecca L Nelson | Counselor | 7818 Moline Rd, Webster, WI 54893-8545 | 2018-08-22 |
| 1285037465 | Cortney Tripp | Counselor | 7818 Moline Rd, Webster, WI 54893-8545 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288711 | Jamie Ruiz | Licensed Practical Nurse | 27105 Lily Lake Rd, Webster, WI 54893 | 2009-07-21 |
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1851421903 | St Croix Falls Eye Associates | Optometrist | 7440 Main St West, Webster, WI 54893 | 2007-03-07 |
| 1871676528 | Kathryn Alice Schneider | Counselor | 4404 State Road 70, Webster, WI 54893 | 2006-10-23 |
| 1396823324 | Benjamin Dale Blowers | Chiropractor | 7461 Main St West, Webster, WI 54893-0095 | 2006-11-01 |
| 1699195065 | Shannon Steiner | Licensed Practical Nurse | 8757 Perida Rd, Webster, WI 54893-7422 | 2014-04-23 |
| 1861662678 | Cary Mitchell Behm | Chiropractor | 26768 Lakeland Ave N, Webster, WI 54893-8106 | 2008-03-07 |
| 1174673511 | John W Ingalls | Family Medicine | 7456 Main St W, Webster, WI 54893-8205 | 2007-01-10 |
| 1265950240 | Erin M Vogland | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2017-08-30 |
| 1255627972 | Leah B Jacobs | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2011-06-21 |
| Find all providers in zip 54893 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230330 | Sara Carpenter | Social Worker | 462 Covewood Blvd, Webster, NY 14580-1108 | 2020-03-18 |
| 1851886188 | Tiffany Belnavis | Social Worker | 436 School St, Webster, MA 01570-4361 | 2018-06-28 |
| 1245730530 | Thomas Eugene Broffman | Social Worker | 340 Thompson Rd., Webster, MA 01570 | 2018-02-13 |
| 1104366129 | Wendy Ackley | Social Worker | 245 Sutton Rd, Webster, MA 01570-3143 | 2017-02-24 |
| 1841400512 | Sara Beth Henley Sands | Social Worker | 128 Hefner Dr, Webster, NY 14580-3438 | 2007-05-23 |
| 1346876802 | Briaune Sm Taylor | Social Worker | 695 Bay Rd, Webster, NY 14580-4091 | 2020-03-17 |
| 1669005518 | Annie Atwood | Social Worker | 617 Cole St Ste B, Webster, TX 77598-4903 | 2020-02-19 |
| 1124678818 | Muskadee Linda Montano | Social Worker | 4404 State Road 70, Webster, WI 54893-9251 | 2019-09-16 |
| 1811402514 | Jennifer Marie Green | Social Worker | 695 Bay Rd, Webster, NY 14580-4091 | 2017-12-05 |
| 1740227511 | Nancy S Phelps | Social Worker | 45 Webster Commons Blvd, Suite 200, Webster, NY 14580 | 2006-06-01 |
| Find all providers in WEBSTER | ||||
Please comment or provide details below to improve the information on CARLY R TEBO.
| 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.