MR. MIKE THOMAS TATTERSHALL LISW
NPI 1265571731
Social Worker - School in Roswell, NM

Active since February 05, 2007
300 N KENTUCKY AVE, ROSWELL, NM 88201(505) 627-2500(505) 627-2544 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mike Thomas Tattershall Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MIKE THOMAS TATTERSHALL LISW (NPI 1265571731) is an individual school provider in Roswell, New Mexico, licensed in New Mexico (I-3505) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265571731
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameMR. MIKE THOMAS TATTERSHALLCredential: LISW
Location Address300 N KENTUCKY AVERoswell, NM 88201-4636
Mailing Address300 N Kentucky AveRoswell, NM 88201-4636 · (505) 627-2500 · Fax (505) 627-2544
Fax(505) 627-2544
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1265571731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in NM · I-3505
300 N KENTUCKY AVE, Roswell, NM 88201

Other Identifiers 1

Medicaid73858NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
300 N KENTUCKY AVE
ROSWELL, NM 88201
Occupational Therapy Assistant
300 N KENTUCKY AVE
ROSWELL, NM 88201
Speech-Language Pathologist
300 N KENTUCKY AVE
ROSWELL, NM 88201
Speech-Language Pathologist
300 N KENTUCKY AVE
ROSWELL, NM 88201
Registered Nurse (School)
300 N KENTUCKY AVE
ROSWELL, NM 88201
Occupational Therapy Assistant
300 N KENTUCKY AVE
ROSWELL, NM 88201
Social Worker (School)
300 N KENTUCKY AVE
ROSWELL, NM 88201
Speech-Language Pathologist
300 N KENTUCKY AVE
ROSWELL, NM 88201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mike Tattershall's NPI number?

The NPI number for Mike Tattershall is 1265571731. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Mike Tattershall located?

Mike Tattershall practices at 300 N Kentucky Ave, Roswell, NM 88201. The listed phone number is (505) 627-2500.

What is Mike Tattershall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Mike Tattershall was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.