Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Lisignoli

Individual provider Clinical Social Worker · NPI 1093300196

Anthony Lisignoli is a Clinical Social Worker in Taos, New Mexico. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2021
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Practice location Address checks out

105 Bertha Rd Ste B
Taos, NM 87571-7148
Phone: (575) 758-4297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (NM)

Record details

NPI number1093300196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2021
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address3322 Santa Clara Ave Se, Albuquerque, NM 87106-1531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Taos