Individual provider Active NPI

Bethany Solberg

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1629711320
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12330-123 Issued in WI
Practice address
3073 S Chase Ave Ste 310
Milwaukee, WI 53207-2667
Phone
(414) 360-9635
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12330-123 WI Primary

Addresses

Primary practice location

3073 S Chase Ave Ste 310
Milwaukee, WI 53207-2667

Mailing address

3073 S Chase Ave Ste 310
Milwaukee, WI 53207-2667
Phone (414) 360-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002800 MI Practitioner - Clinical Social Worker 9133665433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PathwaysGroup PAC ID 4284626391, 28 clinicians

Practice addresses (Care Compare)

200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-7210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12330-123WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways CurrentSince Jul 16, 2024 Accepting new patients

Locations

2500 7th Ave S
Ste 100
Escanaba, MI 49829
Phone (906) 233-1322

200 W Spring St
Marquette, MI 49855
Phone (906) 225-1181

601 W Superior St
Munising, MI 49862
Phone (906) 387-3611

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1629711320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 S CHASE AVE STE 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072667",
            "telephone_number": "414-360-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 S CHASE AVE STE 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072667",
            "telephone_number": "414-360-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12330-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.