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TEGAN MALLARY POLHAMUS LICSW
NPI 1063709806
Social Worker in Gloucester, MA

Active since June 30, 2011
3 BLACKBURN CENTER, GLOUCESTER, MA 01930(978) 283-7793 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tegan Mallary Polhamus Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEGAN MALLARY POLHAMUS LICSW (NPI 1063709806) is an individual social worker in Gloucester, Massachusetts, licensed in Massachusetts (120986) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1063709806
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTEGAN MALLARY POLHAMUSCredential: LICSW
Location Address3 BLACKBURN CENTERGloucester, MA 01930
Mailing Address3 Blackburn CenterGloucester, MA 01930-5040 · (978) 283-7793
Phone(978) 283-7793
Sole ProprietorNo
Enumeration DateJune 30, 2011
Last NPPES UpdateJanuary 30, 2018
✔ NPI 1063709806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in MA · 120986✔ Licensed in MA · 221026
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3 BLACKBURN CENTER, Gloucester, MA 01930
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Other Names 1

Former Name (1)Tegan Mallary Walsh

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM BARTON DECKERT
Counselor
3 BLACKBURN CENTER
GLOUCESTER, MA 01930
Essex County (978) 283-7198
MARY C CHAO LMHC
Counselor (Mental Health)
3 BLACKBURN CENTER
GLOUCESTER, MA 01930
Essex County (978) 559-4313
ZUREYMA THOMPSON
Counselor
3 BLACKBURN CENTER
GLOUCESTER, MA 01930
Essex County (978) 283-7198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tegan Polhamus's NPI number?

The NPI number for Tegan Polhamus is 1063709806. It was assigned to this individual provider in the NPPES registry on June 30, 2011. The provider is also known as Tegan Mallary Walsh.

Where is Tegan Polhamus located?

Tegan Polhamus practices at 3 Blackburn Center, Gloucester, MA 01930. The listed phone number is (978) 283-7793.

What is Tegan Polhamus's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Tegan Polhamus was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.