Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly R Tebo, LCSW

Individual provider Social Worker · NPI 1003396631

Carly R Tebo, LCSW is a Clinical Social Worker in Webster, Wisconsin. Qualified in 2018, 8 years ago. Practices with Family Therapy Associates LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7818 Moline Rd
Webster, WI 54893-8545
Phone: (715) 866-8301
Fax: (715) 866-8374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9566 (WI)
Social Worker Taxonomy 104100000X · Licence 131124-121 (WI)

Record details

NPI number1003396631
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Therapy Associates Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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