Individual provider Active NPI

Dolores Ruiz-Chavez, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1124740287
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2025-0138 Issued in NM
Practice address
6411 Canavio PL NW
Albuquerque, NM 87120-7052
Phone
(505) 718-2119
NPI assigned
Sep 15, 2022
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2022-0772 NM
School Social Worker 1041S0200X SWB-2022-1125 NM
Clinical Social Worker 1041C0700X SWB-2025-0138 NM Primary

Addresses

Primary practice location

6411 Canavio PL NW
Albuquerque, NM 87120-7052

Mailing address

6411 Canavio PL NW
Albuquerque, NM 87120-7052
Phone (505) 718-2119

Other practice location 1

674 Becker Ave
Belen, NM 87002
Phone (575) 835-4357

Other names 1

  • Dolores Archuleta, Jimenez, Marquez Former name

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
I20251001000233 NM Practitioner - Clinical Social Worker 5799281556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6713 4TH St NW
Los Ranchos, NM 87107-6114
Phone (505) 718-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2022-0772NMMDSocial Worker
SWB-2025-0138NMMDClinical Social Worker
SWB-2022-1125NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boldly Resilient LLC Clinical CurrentSince Aug 9, 2025 Accepting new patients

Locations

6713 4th St NW
Los Ranchos, NM 87107
Phone (310) 701-9059

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1124740287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 CANAVIO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207052",
            "telephone_number": "505-718-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 CANAVIO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207052",
            "telephone_number": "505-718-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 Becker Ave",
            "address_purpose": "LOCATION",
            "city": "Belen",
            "state": "NM",
            "postal_code": "87002",
            "country_code": "US",
            "telephone_number": "575-835-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-CHAVEZ",
        "first_name": "DOLORES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2022-0772",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2022-1125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "ARCHULETA, JIMENEZ, MARQUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.