Individual provider · Type 1 NPI

Carly R. Tebo, LCSW

Clinical Social Worker · Webster, WI

NPI number 1003396631 Active

Practice location

7818 Moline Rd
Webster, WI 54893-8545

Fax (715) 866-8374

Mailing address

PO Box 309
Siren, WI 54872-0309

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X131124-121 (WI)
Clinical Social Worker Primary 1041C0700X9566 (WI)

Clinical Social Worker: 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 interpers…

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About NPI 1003396631

Carly R. Tebo, LCSW's National Provider Identifier is 1003396631, issued on Aug 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Webster, WI. The record was last updated on May 11, 2021.