TEGAN MALLARY POLHAMUS (LICSW) – Social Worker, NPI 1063709806

TEGAN MALLARY POLHAMUS (LICSW) is a healthcare provider. based in Gloucester, Massachusetts. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 221026 (MA). The NPI Number for TEGAN MALLARY POLHAMUS (LICSW) is 1063709806

Main info

Female
Name
TEGAN MALLARY POLHAMUS (LICSW)
NPI
1063709806
Phone
(978) 283-7793
Address
3 BLACKBURN CENTER
Enumeration Date
30 June 2011
Last Update Date
30 January 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for TEGAN MALLARY POLHAMUS (LICSW)

  • 3 BLACKBURN CENTER

    GLOUCESTER, MA 019305040

    Phone: (978) 283-7793

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01930)

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Frequently asked questions

Can I verify TEGAN MALLARY POLHAMUS (LICSW) with an NPI only?
You can start verification with NPI 1063709806 for TEGAN MALLARY POLHAMUS (LICSW), then check state licensing separately.
Does the file indicate TEGAN MALLARY POLHAMUS (LICSW) is practicing under active NPI?
Directory data currently reports TEGAN MALLARY POLHAMUS (LICSW) as active.
What is TEGAN MALLARY POLHAMUS (LICSW) best known for clinically?
Directory data describes TEGAN MALLARY POLHAMUS (LICSW) with Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for TEGAN MALLARY POLHAMUS (LICSW)?
TEGAN MALLARY POLHAMUS (LICSW)'s geographic hint is Gloucester, Massachusetts in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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