What is Tisha Petelo's NPI number?

Tisha Petelo's National Provider Identifier (NPI) is 1487980611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tisha Petelo's specialty?

Tisha Petelo is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Tisha Petelo located?

Tisha Petelo's practice location on file with NPPES is Fiatele Teo Bldg., Pago Pago, AS 96799-1005.

What is Tisha Petelo's phone number?

The practice phone number listed in the NPPES registry for Tisha Petelo is (684) 699-3725.

Is Tisha Petelo's NPI active?

Yes — Tisha Petelo's NPI (1487980611) is active in the NPPES registry as of the last update on 2009-10-22.

IndividualActive

Tisha Petelo, LCSW, MAC

NPI 1487980611 · Clinical Social Worker · Pago Pago, AS

Tisha Petelo, LCSW, MAC is a Clinical Social Worker provider in Pago Pago, AS (NPI 1487980611).

Provider details

NPI number: 1487980611
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW, MAC
Sex: Female
Sole proprietor: No
License: 809 (CO)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 809 (CO)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

Fiatele Teo Bldg.

Airport Road 1005

Pago Pago, AS 96799-1005

Phone: (684) 699-3725

More AS providers

Mailing address

Po Box 1005