Carmen Nieves-Pacheco

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R065070-1 Issued in NY

Practice address

12 Cygnet Rd
Congers, NY 10920-1789

Phone

(917) 309-9184

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By 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 2

Addresses

Other names 1

• Ms. Carmen Millie Nieves-Pacheco Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• East Coast Rehabilitation Inc

  dba Columbus Center For Medical Rehabilitation

  • Clinic/Center
  • Bronx, NY
  • NPI 1477570315
  Medicare reassignment NPD
• Journey 2 Serenity, LLC

  • Specialist
  • Nyack, NY
  • NPI 1881225688
  NPD Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1326599879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CYGNET RD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201789",
            "telephone_number": "917-309-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CYGNET RD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201789",
            "telephone_number": "917-309-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-PACHECO",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": "12455",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R065070-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "NIEVES-PACHECO",
            "middle_name": "MILLIE",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vivette Mednard
• Elizabeth Anne Messmer, DPT
• Wesley Miller
• Melissa W Moreno I, FNP
• Lori Neil
• Jasmine R Nunez, M.S., CCC-SLP
• Kristin O'Rourke, LCSW
• Ogo Ac Inc.
• Optometric Eyecare of Rockland, P.C.
• Anna Maria Orser, MS

• Clinical Social Worker in Congers, NY
• Providers in Congers, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.