KARA BETH WESEBAUM (LCSW) – Social Worker, NPI 1114410073

KARA BETH WESEBAUM (LCSW) is a healthcare provider. based in Bethel, Alaska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LW60455646 (WA). The NPI Number for KARA BETH WESEBAUM (LCSW) is 1114410073

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KARA BETH WESEBAUM (LCSW)
NPI
1114410073
Phone
(907) 543-6100
Address
P.O. BOX 528
Enumeration Date
14 June 2018
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
6103368006
Group Practice PAC ID
3971591199
Professional Enrollment ID
I20240606003118
Address ID
WA991229729DA10XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

212 CLINICAL SOCIAL WORKER in AK

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Provider Addresses for KARA BETH WESEBAUM (LCSW)

  • 528, Mulberry Lane, Springdale, Benton County, Arkansas, 72764, United States

    ATTN: BEHAVIORAL HEALTH

    BETHEL, AK 99559

    Phone: (907) 543-6100

    Fax: (907) 543-6159

    Type: Mailing

  • 829, Chief Eddie Hoffman Highway, Bethel, Unorganized Borough, Alaska, 99559, United States

    SUITE 150

    BETHEL, AK 99559

    Phone: (907) 543-6100

    Fax: (907) 543-6159

    Type: Location

  • 10 NICHOLLS ST

    DAVENPORT, WA 991229729

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Type: Location

  • PO BOX 771

    PETERSBURG, AK 998330771

    Phone: (907) 650-0222

    Fax: (907) 772-3710

    Type: Mailing

  • 401 HAUGEN DRIVE

    #103

    PETERSBURG, AK 998330771

    Phone: (907) 650-0222

    Fax: (907) 772-3710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240606003118IClinical Social WorkerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99559)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971591199View full group profile
NameSpecialtyState
-WA
Nurse PractitionerCA
General SurgeryMN
Family PracticeWA
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)WA
Family PracticeWA
Family PracticeWA
Emergency MedicineID

Reviews

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Frequently asked questions

Can I verify KARA BETH WESEBAUM (LCSW) with an NPI only?
You can start verification with NPI 1114410073 for KARA BETH WESEBAUM (LCSW), then check state licensing separately.
Does the file indicate KARA BETH WESEBAUM (LCSW) is practicing under active NPI?
Directory data currently reports KARA BETH WESEBAUM (LCSW) as active.
What healthcare role does KARA BETH WESEBAUM (LCSW) hold?
Scheduling teams often label KARA BETH WESEBAUM (LCSW) under Social Worker. Clinical services aligned with this taxonomy classification.
Where is KARA BETH WESEBAUM (LCSW) based?
KARA BETH WESEBAUM (LCSW) is tied to Bethel, Alaska in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.