Individual provider Active NPI

Yesenia Mercedes Pacheco Llanos, LICENCIADA

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1477151017
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15379 Issued in PR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 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

OrganizationSpecialtyStatusNew patients
Holistic Mindset, LLC Multi-Specialty CurrentSince Mar 19, 2023 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.

Verify at the official NPI Registry.