Individual provider Active NPI

Denise Xiomara Pacheco Cabrera, MSW, ISW,FDC

  • Social Worker
  • Bradenton, FL
National Provider Identifier
1235849035
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15347 Issued in FL
Practice address
623 25TH Ave E
Bradenton, FL 34208-3739
Phone
(813) 734-4288
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15347 FL Primary

Addresses

Primary practice location

623 25TH Ave E
Bradenton, FL 34208-3739

Mailing address

623 25TH Ave E
Bradenton, FL 34208-3739
Phone (813) 734-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15347FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1235849035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 25TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342083739",
            "telephone_number": "813-734-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 25TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342083739",
            "telephone_number": "813-734-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO CABRERA",
        "first_name": "DENISE",
        "middle_name": "XIOMARA",
        "credential": "MSW, ISW,FDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "15347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.