Individual provider Active NPI

Valerie Shineswarmly Pacini, LCSW/LISW

  • Clinical Social Worker
  • Portales, NM
National Provider Identifier
1376784629
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-06954 Issued in NM
Practice address
100 S Avenue a Ste B7-8
Portales, NM 88130-5917
Phone
(575) 356-9884
Fax
(575) 356-9908
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 C-06954 NM Primary

Addresses

Primary practice location

100 S Avenue a Ste B7-8
Portales, NM 88130-5917

Mailing address

PO Box 626
Portales, NM 88130-0626
Phone (575) 356-9884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20141117000280 NM Practitioner - Clinical Social Worker 1355563966 Practice locations: Portales, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 S Ave a
B7
Portales, NM 88130-5917
Phone (575) 356-9884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-06954NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1376784629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300626",
            "telephone_number": "575-356-9884",
            "fax_number": "575-356-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S AVENUE A STE B7-8",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881305917",
            "telephone_number": "575-356-9884",
            "fax_number": "575-356-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACINI",
        "first_name": "VALERIE SHINESWARMLY",
        "name_prefix": "Ms.",
        "credential": "LCSW/LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-06954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.