Individual provider Active NPI

Lorraine Pacheco, LCSW

  • Clinical Social Worker
  • Farmington, NM
National Provider Identifier
1821447269
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11538 Issued in NM
Practice address
1001 W. Broadway
D & E
Farmington, NM 87401
Phone
(505) 327-4796
NPI assigned
Jun 7, 2016
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11538 NM Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1001 W. Broadway
D & E
Farmington, NM 87401

Mailing address

5501 Wilshire Ave NE Ste C
Albuquerque, NM 87113-2569
Phone (505) 702-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Oct 16, 2023 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 16, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

5501 Wilshire Ave NE
Ste C
Albuquerque, NM 87113
Phone (505) 237-4020

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

184 Unser Blvd NE
Rio Rancho, NM 87124
Phone (505) 896-0928

Organizations & group practices 3

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1821447269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILSHIRE AVE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132569",
            "telephone_number": "505-702-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W. BROADWAY",
            "address_2": "D & E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-327-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11538",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.