Mrs Tisha Petelo, LCSW, MAC in Pago Pago, AS - Social Worker

Mrs Tisha Petelo, LCSW, MAC is a Social Worker - Clinical based in Pago Pago, American Samoa. Mrs Tisha Petelo is licensed to practice in Colorado (license number 809) and her current practice location is Fiatele Teo Bldg., Airport Road 1005, Pago Pago, American Samoa. She can be reached at her office (for appointments etc.) via phone at (684) 699-3725.

NPI number for Mrs Tisha Petelo is 1487980611 and her current mailing address is Po Box 1005, Pago Pago, American Samoa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487980611.

Contact Information

	Mrs Tisha Petelo, LCSW, MAC
	Fiatele Teo Bldg., Airport Road 1005, Pago Pago, AS 96799-1005
	(684) 699-3725
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Tisha Petelo
Gender	Female
Speciality	Social Worker - Clinical
Location	Fiatele Teo Bldg., Pago Pago, American Samoa
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1487980611
Provider Enumeration Date: 10/22/2009
Last Update Date: 10/22/2009

Medical Identifiers

Medical identifiers for Mrs Tisha Petelo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487980611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	809 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tisha Petelo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tisha Petelo, LCSW, MAC Po Box 1005, Pago Pago, AS 96799-1005 Ph: (684) 699-3725	Mrs Tisha Petelo, LCSW, MAC Fiatele Teo Bldg., Airport Road 1005, Pago Pago, AS 96799-1005 Ph: (684) 699-3725

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Social Worker in Pago Pago, AS

Mr. Robert Lloyd Max Toelupe, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4715 Aua Main St., Pago Pago, AS 96799
Phone: 684-252-5480

Mrs Tisha Petelo, LCSW, MAC - Clinical Social Worker in Pago Pago, AS