Lesley Dale Pacheco, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06827 Issued in NM

Practice address

2050 A 2ND Street
Kirtland AFB, NM 87117

Phone

(505) 846-0139

Fax

(505) 846-6250

NPI assigned

Aug 19, 2006

Last updated

Sep 4, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1104930734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050A 2ND ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871175522",
            "telephone_number": "505-846-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 A 2ND STREET",
            "city": "KIRTLAND AFB",
            "state": "NM",
            "postal_code": "87117",
            "telephone_number": "505-846-0139",
            "fax_number": "505-846-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "LESLEY",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-4311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Richard Nelson, PHARM D
• Ronald Nelson
• Mark Noakes, PSYD
• Lindsay Ortman, D.M.D
• Mary Ann Terese Orzech, M.D.
• Derick B Palmer, ED.D, LPC, LMHC, NCC
• James Palmer, LICSW
• Michael Jonathan Paston, MD
• John Keith Paul III, DDS
• Daniel Pena, ATC, LPTA

• Clinical Social Worker in Kirtland AFB, NM
• Providers in Kirtland AFB, 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 Sep 4, 2013; 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.