Active NPI
Yesenia Mercedes Pacheco Llanos, LICENCIADA
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1477151017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15379
- Practice address
- 1051 Ave Munoz Rivera
FL 13
San Juan, PR 00925-2701 - Phone
- (787) 628-4616
- NPI assigned
- Oct 15, 2020
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15379 | PR | Primary |
Addresses
Primary practice location
1051 Ave Munoz Rivera
FL 13
San Juan, PR 00925-2701
Mailing address
Urbanizacion Bayamon Gardens Calle Sandy
HH30
Bayamon, PR 00957
Phone (787) 628-4616
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Mindset, LLC | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1477151017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION BAYAMON GARDENS CALLE SANDY",
"address_2": "HH30",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-628-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 AVE MUNOZ RIVERA",
"address_2": "FL 13",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009252701",
"telephone_number": "787-628-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO LLANOS",
"first_name": "YESENIA",
"middle_name": "MERCEDES",
"credential": "LICENCIADA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.