Tamara Cheyenne Pacheco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23490 Issued in FL

Practice address

8025 Tea Olive Ter
Palmetto, FL 34221-6657

Phone

(727) 354-8020

Fax

(727) 354-8097

NPI assigned

Jan 26, 2024

Last updated

Jul 16, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pacheco Health Ventures LLC

  dba Suriel Therapy Co.

  • Community/Behavioral Health Agency
  • Palmetto, FL
  • NPI 1053203026
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1598527327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 TEA OLIVE TER",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342216657",
            "telephone_number": "850-716-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 TEA OLIVE TER",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342216657",
            "telephone_number": "727-354-8020",
            "fax_number": "727-354-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Bay Pines Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Bay Pines",
            "state": "FL",
            "postal_code": "337448202",
            "country_code": "US",
            "telephone_number": "727-398-6661 x10181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "TAMARA",
        "middle_name": "CHEYENNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6355G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03164",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Accord Care LLC
• Optumcare Florida, LLC (DaVita Medical Group)
• Jessica Ortegon
• Kelle R Ozmon, DC
• Pacheco Health Ventures LLC (Suriel Therapy Co.)
• David Padron
• Victoria Lee Carmen Pallares
• Palmetto Dental Center LLC
• Palmetto Primary Care Associates, LLC
• Palmetto Spine Auto Injury & Performance Institute

• Clinical Social Worker in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.