Individual provider Active NPI

Alejandro Pacheco Jr., LCSW

  • Clinical Social Worker
  • Edinburg, TX
National Provider Identifier
1174148126
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66119 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423
Phone
(956) 362-8290
Fax
(956) 362-8295
NPI assigned
Jun 15, 2020
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66119 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250513003729 TX Practitioner - Clinical Social Worker 5092233080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2821 W Michaelangelo Dr
Suite 204
Edinburg, TX 78539-1423
Phone (956) 362-8290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66119TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Clinical CurrentSince May 11, 2025 Accepting new patients
Weslaco Counseling Center, PLLC Clinical PastSince Jun 1, 2020 Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince May 11, 2025 Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 204
Edinburg, TX 78539
Phone (956) 362-8290

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1174148126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 204",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391423",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.