Edward Louis Pacetti Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23763 Issued in TX

Practice address

4203 Woodcock Dr
Suite 265
San Antonio, TX 78228-1320

Phone

(210) 683-3810

Fax

(210) 695-7702

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omni Layne Counseling, PLLC

  • Group Psychotherapy Psychologist
  • San Antonio, TX
  • NPI 1306952304

  Clinical

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1992739502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RENNER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012727",
            "telephone_number": "210-683-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 WOODCOCK DR",
            "address_2": "SUITE 265",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281320",
            "telephone_number": "210-683-3810",
            "fax_number": "210-695-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACETTI",
        "first_name": "EDWARD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149062502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul D Pace, M.D.
• Rachela Pace
• Rebecca Anne Pace, LCDC-I
• Ronnie L Pace Jr., LPCC LMHC LMFT LPC
• Paced Behavior, LLC
• Megan Pacetti, ATC, MS
• Rami Pacha, DO
• Abigail Nadine Pacheco
• Alice Pacheco, LVN
• Arelie Pacheco

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.