MRS. TISHA PETELO LCSW, MAC
NPI 1487980611
Social Worker - Clinical in Pago Pago, AS

Active since October 22, 2009
FIATELE TEO BLDG., AIRPORT ROAD 1005, PAGO PAGO, AS 96799(684) 699-3725 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tisha Petelo Lcsw, Mac NPPES

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

MRS. TISHA PETELO LCSW, MAC (NPI 1487980611) is an individual clinical provider in Pago Pago, American Samoa, licensed in Colorado (809) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1487980611
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TISHA PETELOCredential: LCSW, MAC
Location AddressFIATELE TEO BLDG., AIRPORT ROAD 1005Pago Pago, AS 96799-1005
Mailing AddressPo Box 1005Pago Pago, AS 96799-1005 · (684) 699-3725
Sole ProprietorNo
Enumeration DateOctober 22, 2009
NPI 1487980611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CO · 809
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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 Tisha Petelo's NPI number?

The NPI number for Tisha Petelo is 1487980611. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Tisha Petelo located?

Tisha Petelo practices at Fiatele Teo Bldg. Airport Road 1005, Pago Pago, AS 96799. The listed phone number is (684) 699-3725.

What is Tisha Petelo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tisha Petelo was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.