Individual provider Active NPI

Talitha Rosalyn Dross, LMSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1972028611
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB20231270 Issued in NM
Practice address
100 W Griggs Ave
Las Cruces, NM 88001
Phone
(575) 647-2800
Fax
(575) 647-2800
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-10246 NM
Social Worker 104100000X M-10302 NM
Clinical Social Worker 1041C0700X 66060 TX
Clinical Social Worker 1041C0700X SWB20231270 NM Primary

Addresses

Primary practice location

100 W Griggs Ave
Las Cruces, NM 88001

Mailing address

385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other practice location 1

8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545

Other practice location 2

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Phone (575) 915-1338

Other practice location 3

2801 Missouri Ave Ste 22
Las Cruces, NM 88011-5062
Phone (575) 636-2550

Other identifiers 1

IdentifierTypeStateIssuer
96387564MedicaidNM

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
I20240126003908 NM Practitioner - Clinical Social Worker 4587017413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NM Family Services LLCGroup PAC ID 3274754775, 8 clinicians

Practice addresses (Care Compare)

5312 Rio Bravo Dr
Suite 10
Santa Teresa, NM 88008-9210
Phone (575) 915-1338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-10302NMMDSocial Worker
X-10246NMMDSocial Worker
SWB20231270NMMDClinical Social Worker
66060TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC Clinical CurrentSince Dec 5, 2023 Accepting new patients
NM Family Services LLC CurrentSince Dec 5, 2023 Accepting new patients
NM Integrated Solutions PastSince Jul 24, 2022 Accepting new patients

Locations

2801 Missouri Ave
Ste 22
Las Cruces, NM 88011
Phone (575) 636-2550

5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1972028611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GRIGGS AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-647-2800",
            "fax_number": "575-647-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8061 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799154705",
            "country_code": "US",
            "telephone_number": "915-859-7545",
            "fax_number": "915-859-9862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5312 Rio Bravo Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880089210",
            "country_code": "US",
            "telephone_number": "575-915-1338",
            "fax_number": "575-915-1819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Missouri Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115062",
            "country_code": "US",
            "telephone_number": "575-636-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROSS",
        "first_name": "TALITHA",
        "middle_name": "ROSALYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-10246",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10302",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66060",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB20231270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96387564",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.