Individual provider · Type 1 NPI
Tisha Petelo, LCSW, MAC
Clinical Social Worker · Pago Pago, AS
Practice location
Fiatele Teo Bldg., Airport Road 1005
Pago Pago, AS 96799-1005
Mailing address
PO Box 1005
Pago Pago, AS 96799-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 809 (CO) |
Clinical Social Worker: 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 interpers…
Other clinical social worker providers in Pago Pago
About NPI 1487980611
Tisha Petelo, LCSW, MAC's National Provider Identifier is 1487980611, issued on Oct 22, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pago Pago, AS. The record was last updated on Oct 22, 2009.