1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Social Worker
  6. NPI Profile

TEZETA GUDETA MAMMO
NPI 1922282342
Social Worker - Clinical in New Haven, CT

Active since December 20, 2007
428 COLUMBUS AVE, NEW HAVEN, CT 06519(203) 503-3290(203) 503-3066 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tezeta Gudeta Mammo NPPES

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

TEZETA GUDETA MAMMO (NPI 1922282342) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (7530) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1922282342
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTEZETA GUDETA MAMMO
Location Address428 COLUMBUS AVENew Haven, CT 06519-1233
Mailing Address428 Columbus AveNew Haven, CT 06519-1233 · (203) 503-3290 · Fax (203) 503-3066
Phone(203) 503-3290
Fax(203) 503-3066
Sole ProprietorNo
Enumeration DateDecember 20, 2007
Last NPPES UpdateJuly 14, 2011
✔ NPI 1922282342 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 CT · 7530
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.
428 COLUMBUS AVE, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 2

Medicaid004235900CT
Medicaid004235918CT

Other Providers at the Same Location NPPES 20

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

ARTI BARNES MD, MBBS, MPH
Internal Medicine (Infectious Disease)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
MRS. ROCCA L PERRUCCIO FNP
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
OLUREMI ALIYU
Internal Medicine
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
MRS. PAMELA ANN RULE FNP-BC
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
HANNAH ROSE RICHELIEU PA-C
Physician Assistant
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CHAPMAN ELIZABETH DEATON DMD
Dentist
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
TUSHEMIA ROBERTS RN
Registered Nurse
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3284
DR. ALICIA EMENY INGALLS PITTARD M.D.
Pediatrics
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3030

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 Tezeta Mammo's NPI number?

The NPI number for Tezeta Mammo is 1922282342. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Tezeta Mammo located?

Tezeta Mammo practices at 428 Columbus Ave, New Haven, CT 06519. The listed phone number is (203) 503-3290.

What is Tezeta Mammo'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 Tezeta Mammo was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.