Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip Jerome Tatoris, LISW

Individual provider Clinical Social Worker · NPI 1548382039

Mr. Philip Jerome Tatoris, LISW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2002, 24 years ago. Practices with Metta Therapeutics LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
24
Licensed in
NM
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

6505 Kaas Trail Ct NE
Albuquerque, NM 87111-7114
Phone: (505) 400-6163
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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 · Licence I-06315 (NM)

Record details

NPI number1548382039
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Metta Therapeutics Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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