Tenelle Marie Phillips, LCSW
Individual provider Active NPI Clinical Social Worker · Raton, NM
NPI 1497962294 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1497962294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I06227 (NM)
- Practice address
- 705 S 5TH St
Raton, NM 87740-4128 - Phone
- (505) 445-8568
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I06227 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I06227 | NM | Yes |
Addresses
Primary practice location
705 S 5TH St
Raton, NM 87740-4128
Mailing address
705 S 5TH St
Raton, NM 87740-4128
Phone (575) 447-0406
Other providers in Raton, NM
- Loretta Ann Ortiz
- Shannon Joel Otto
- Erin Pearcy
- Katherine Peralta
- Cassie A Phillips
- Kathy J Pohl
- Elizabeth A. Poteste
- Donald Primer
- Teresa Quiroga
- Desiree R Ramirez
All providers in Raton, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.