Angela Pacheco

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17144 Issued in PR

Practice address

34 Murray St
Waterbury, CT 06710-1920

Phone

(203) 597-0643

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  Medicare reassignment
• Migrant Health Center Western Region, Inc.

  • Clinic Pharmacy
  • Yauco, PR
  • NPI 1093262297
  NPD
• Migrant Health Center Western Region, Inc.

  • Migrant Health Clinic/Center
  • Mayaguez, PR
  • NPI 1861864977
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1063299196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-597-0643",
            "fax_number": "203-597-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MURRAY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101920",
            "telephone_number": "203-597-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "8130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Ouellette, APRN
• Thomas Anthony Ouellette
• Our Star Family Inc
• Michael Overton
• Victor Bunmi Oyewole
• Janaileen Pacheco
• Jenid M Pacheco
• Joseph Pacheco Sr., D.C.
• Yanira Pacheco
• Samantha Ann Pacileo

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.