Active NPI
Neoma Stoltzfus-Dover, LSAA
- Social Worker
- Albuquerque, NM
National Provider Identifier
1083005482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-10114
- Practice address
- 5701 Carmel Ave NE Ste B
Albuquerque, NM 87113-2843 - Phone
- (505) 308-5226
- Fax
- (505) 514-0754
- NPI assigned
- Feb 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Albuquerque, NM
- NPI 1144437294
-
- Methadone Clinic
- Albuquerque, NM
- NPI 1710512199
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10615 Rio del Sol CT NW
Albuquerque, NM 87114-3885
5701 Carmel Ave NE
Suite B
Albuquerque, NM 87113-2843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260625002285 | NM | Practitioner - Clinical Social Worker | 9133692676 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0169311 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 32 Degrees Genuine, LLC | Current | Accepting new patients | |
| Metro Treatment of New Mexico LP | Past | Accepting new patients | |
| Metro Treatment of New Mexico LP | Past | Accepting new patients |
Locations
5701 Carmel Ave NE
Ste B
Albuquerque, NM 87113
Phone (505) 308-5226
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0169311 | NM | |
| Social Worker | 104100000X | M-10114 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5701 Carmel Ave NE Ste B
Albuquerque, NM 87113-2843
Mailing address
7217 Prairie Rd NE
Albuquerque, NM 87109-1817
Phone (505) 410-4974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2026.
{
"created_epoch": "1423267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1083005482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 PRAIRIE RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091817",
"telephone_number": "505-410-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CARMEL AVE NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132843",
"telephone_number": "505-308-5226",
"fax_number": "505-514-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLTZFUS-DOVER",
"first_name": "NEOMA",
"name_prefix": "Ms.",
"credential": "LSAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-07",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "0169311",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-10114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.