Corrina M. Pacheco, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-05746 Issued in NM

Practice address

1335 Gusdorf Road, BLDG E
Taos, NM 87571

Phone

(575) 758-0670

Fax

(575) 751-3557

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Human Resource Development Associates, Inc.

  • Mental Health Counselor
  • Taos, NM
  • NPI 1720206113
  NPD
• Rapha Provider Agency LLC

  • Clinical Social Worker
  • Taos, NM
  • NPI 1588200984
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1083329452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST HWY 75 14086 B",
            "city": "PENASCO",
            "state": "NM",
            "postal_code": "87553",
            "telephone_number": "575-770-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 GUSDORF ROAD, BLDG E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-0670",
            "fax_number": "575-751-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "CORRINA",
        "middle_name": "M.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-05746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Ortega, BMS
• Zaly Ortega
• Mary E Ortiz, RPH
• Mer Otis, JD MA
• Angelica Pacheco
• Elizabeth Pacheco
• Michael Padilla
• Painted Sky Therapy LLC
• Sarah Pak, PHARM.D.
• Alexis Pannell, M.S., CF-SLP

• Clinical Social Worker in Taos, NM
• Providers in Taos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.