Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEGAN MALLARY POLHAMUS, LICSW
ActiveTEGAN MALLARY POLHAMUS, LICSW is a Social Worker healthcare provider located in GLOUCESTER, Massachusetts. NPI 1063709806 is currently active in the NPPES registry. Verify at CMS.
Social Worker · GLOUCESTER, MA
Registration Details
- NPI Number
- 1063709806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2011 (15.087149418415 yrs)
- Last Updated
- Jan 30, 2018
- Licenses
-
221026 (MA)120986 (MA)
Practice Information
- Address
-
3 BLACKBURN CENTERGLOUCESTER, MA, 01930Browse MA providers · Browse ZIP 01930
- Phone
- 9782837793
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in GLOUCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| MORIAH KARN MARSH | LICSW | 1023177003 |
| HEATHER DUNTON HERLIHY | MSW | 1740320704 |
| MS. MARTHA J VERSPRILLE | LCSW | 1972779569 |
| MR. AARON DOUGLAS GILES | LCSW | 1396912358 |
| SARA DARRIEULAT | LICSW | 1952537961 |
| YVONNE I FORGETTE | LSW | 1386939692 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.