Individual provider Active NPI

Neoma Stoltzfus-Dover, LSAA

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1083005482
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-10114 Issued in NM
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625002285 NM Practitioner - Clinical Social Worker 9133692676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0169311NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
32 Degrees Genuine, LLC CurrentSince Jun 12, 2026 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)CodeLicenseStatePrimary
Specialist 174400000X 0169311 NM
Social Worker 104100000X M-10114 NM Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.