Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tisha Petelo, LCSW, MAC

Individual provider Clinical Social Worker · NPI 1487980611

Mrs. Tisha Petelo, LCSW, MAC is a Clinical Social Worker in Pago Pago, American Samoa. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Fiatele Teo Bldg Airport Road 1005
Pago Pago, AS 96799-1005
Phone: (684) 699-3725

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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 809 (CO)

Record details

NPI number1487980611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MAC
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESOctober 22, 2009

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