Tisha Petelo, LCSW, MAC
NPI 1487980611ActiveIndividual· Social Worker, Clinical· Pago Pago, AS
Social Worker, Clinical (LCSW, MAC) in Pago Pago, American Samoa, licensed in CO, with an NPI issued in October 2009.
Overview
| NPI | 1487980611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, MAC |
| Sole proprietor | No |
| NPI issued | Oct 22, 2009 |
| Last updated in NPPES | Oct 22, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 809 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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