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