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

Tezeta Gudeta Mammo

Individual provider Clinical Social Worker · NPI 1922282342

Tezeta Gudeta Mammo is a Clinical Social Worker in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007

Practice location Address checks out

428 Columbus Ave
New Haven, CT 06519-1233
Phone: (203) 503-3290
Fax: (203) 503-3066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7530 (CT)

Record details

NPI number1922282342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2007
Last updated in NPPESJuly 14, 2011

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