Tegan M Polhamus, LICSW
Social Worker in Gloucester, Massachusetts
1063709806- Practice location
- 3 Blackburn Center, Gloucester, MA 01930
- Phone
- 978-283-7793
- Fax
- —
- Last updated
- January 30, 2018
Tegan Mallary Polhamus is a Social Worker based in Gloucester, MA. Tegan Mallary Polhamus practices in Gloucester, MA and has the professional credentials of LICSW. The NPI Number for Tegan Mallary Polhamus is 1063709806 and holds a License No. 221026 (MA). The current practice location address for Tegan Mallary Polhamus is 3 Blackburn Center, Gloucester, MA 01930 and can be reached out via phone at 978-283-7793.
Provider Profile Details
- NPI Number
- 1063709806
- Provider Name
- Tegan Mallary Polhamus
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3 Blackburn Center, Gloucester, MA 01930
- Phone Number
- 978-283-7793
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Other Names
- -- Tegan Mallary Walsh (Former Name)
- Provider Enumeration Date
- June 30, 2011
- Last Update Date
- January 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Blackburn Center
Gloucester, MA 01930 - City
- Gloucester
- State
- Massachusetts
- Zip
- 01930
- Phone Number
- 978-283-7793
Provider Business Mailing Address Details
- Address
- 3 Blackburn Center
Gloucester, MA 01930-5040 - City
- Gloucester
- State
- MA
- Zip
- 01930-5040
- Phone Number
- 978-283-7793
License Information
- License Number (1)
- 221026
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 120986
- License State (2)
- MA
- Taxonomy (2)
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Gloucester, MA
View all Social Workers in Gloucester →Frequently Asked Questions
What is the NPI number of Tegan M Polhamus, LICSW?
The NPI number of Tegan M Polhamus, LICSW is 1063709806. It was assigned on June 30, 2011 and is currently active in the NPPES registry.
What is the specialty of Tegan M Polhamus, LICSW?
Tegan M Polhamus, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 221026.
Where does Tegan M Polhamus, LICSW practice?
The practice location is 3 Blackburn Center, Gloucester, MA 01930. The office can be reached at 978-283-7793 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063709806 directly on the NPPES registry website.