Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063709806 Individual Practitioner Female Practitioner

Tegan Mallary Polhamus , LICSW

Social Worker • Gloucester, MA

Professional Overview & Biography Verified Profile Summary

Tegan Polhamus, LICSW is a registered healthcare professional specializing in Social Worker in Gloucester, MA. Practice services are available at 3 BLACKBURN CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3 Blackburn Center

Gloucester, MA 01930

Telephone 9782837793

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Gloucester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
34 Specialists

Practicing in Gloucester, MA (5619 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MA 120986

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License MA 221026

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Melanie Longo

Counselor - Mental Health

NPI 1902296650

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
NPI Profile Active January 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2018

Registered at 3 BLACKBURN CENTER, GLOUCESTER, MA 01930 (Tel: 9782837793)

📍
Updated Business Mailing Address January 30, 2018

Registered at 3 BLACKBURN CENTER, GLOUCESTER, MA 019305040 (Tel: 9782837793)

👤
Provider Name / Credentials Updated January 30, 2018

Recorded as TEGAN POLHAMUS, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Social Worker (License #120986 in MA)

📍
Updated Practice Location February 07, 2017

Registered at 33 COMMERCIAL ST, GLOUCESTER, MA 019305040 (Tel: 9782837793)

📍
Updated Business Mailing Address February 07, 2017

Registered at 33 COMMERCIAL ST, GLOUCESTER, MA 019305040 (Tel: 9782837793)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as TEGAN POLHAMUS, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Social Worker (License #221026 in MA)

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2012

Registered at 63 COLLEGE AVE, SOMERVILLE, MA 021441957 (Tel: 6174406016)

📍
Updated Business Mailing Address September 17, 2012

Registered at 111 SOUTH ST, SOMERVILLE, MA 021434297 (Tel: 7816862044)

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Provider Name / Credentials Updated September 17, 2012

Recorded as TEGAN WALSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Community Health Worker

🟢
Initial NPI Registration & Enumeration June 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063709806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2011
Last Update: January 30, 2018
Sole Proprietor: No

Mailing Address

3 Blackburn Center

Gloucester, MA 019305040

Phone: 9782837793

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.