Bethany Theobold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022953 Issued in PA

Practice address

47 W Pomfret St
Carlisle, PA 17013-3217

Phone

(717) 258-0214

Fax

(717) 258-3158

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethany Wheeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KPB Wewer, LLC

  dba Mock-Mays Associates

  • Mental Health Counselor
  • Carlisle, PA
  • NPI 1932751740

  Clinical

  NPD
• Mock-Mays Associates

  • Pastoral Counselor
  • Carlisle, PA
  • NPI 1336131655
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1598484487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133217",
            "telephone_number": "717-258-0214",
            "fax_number": "717-258-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133217",
            "telephone_number": "717-258-0214",
            "fax_number": "717-258-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBOLD",
        "first_name": "BETHANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WHEELER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johanna Rich Tesman, PHD.
• The Alliance Home of Carlisle, PA (Chapel Pointe at Carlisle)
• The Arc of Cumberland and Perry Counties
• The Giant Company, LLC (Giant Pharmacy #6112)
• The Giant Company, LLC (Giant Pharmacy 6542)
• Gregory G Theodore, MD
• Katrina M Thoma, CRNP
• Thomas P Neslund DMD PC
• Stephanie L Thomas, LCSW
• William D. Thomas, M.S.

• Clinical Social Worker in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.