Jennifer Pacheco, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

111 W 15TH St
Davenport, IA 52803-4609

Phone

(563) 322-7419

Fax

(563) 322-5339

NPI assigned

Jul 7, 2009

Last updated

Jul 7, 2009By 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 1

Addresses

Other names 1

• Jennifer Swink Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

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.

• Bridgeview Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, IA
  • NPI 1073561882

  Social Worker

  Medicare reassignment NPD
• Vera French Community Mental Health

  dba Vera French Clinic at Duck Creek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)
• Bethany for Children & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1174228639

  Social Worker

  NPD (past)
• Bethany for Children & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1932178183

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1245469659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419",
            "fax_number": "563-322-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419",
            "fax_number": "563-322-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JENNIFER",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SWINK",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reem Oweis, DDS
• Erica Renee Owen, DNP
• James Vincent Owens, D.C.
• Michelle Owens, OTR/L
• Linda S Ozaki, M.D.
• Rafat F Padaria, M.D.
• Ashlyn Paillon, PHARMD
• Pain Consultants, P.C.
• Alisa Anne Paisley, FNP
• Palmer College Foundation (Palmer Chiropractic Clinic)

• Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.