Individual provider Active NPI

Dora J Sandoval, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1437894847
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M10257 Issued in NM
Practice address
725 Stagecoach Rd SE
Albuquerque, NM 87123-4126
Phone
(505) 489-2094
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X M10257 NM Primary

Addresses

Primary practice location

725 Stagecoach Rd SE
Albuquerque, NM 87123-4126

Mailing address

725 Stagecoach Rd SE
Albuquerque, NM 87123-4126
Phone (505) 489-2094

Other names 1

  • Dora J Sandoval Professional 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
I20240410004177 NM Practitioner - Clinical Social Worker 4385082247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dana Paine Enterprises LLCGroup PAC ID 4486063880, 11 clinicians

Practice addresses (Care Compare)

920 Cardenas Dr NE
Albuquerque, NM 87108-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-10257NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Paine Enterprises LLC CurrentSince Feb 10, 2024 Accepting new patients

Locations

920 Cardenas Dr NE
#A
Albuquerque, NM 87108
Phone (505) 266-8168

920 Cardenas Dr NE
Albuquerque, NM 87108
Phone (505) 266-8166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1437894847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 STAGECOACH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234126",
            "telephone_number": "505-489-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 STAGECOACH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234126",
            "telephone_number": "505-489-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "DORA",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M10257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "SANDOVAL",
            "middle_name": "J",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.