Individual provider · Type 1 NPI

Jose Gerardo Pacheco, LICSW, MSW

Clinical Social Worker · Boise, ID

NPI number 1073088779 Active

Practice location

4750 N Five Mile Rd
Boise, ID 83713-2715

Call (208) 996-0931 Map

Other practice locations

  • 2690 NE Kresky Ave, Chehalis, WA 98532-2412 · (360) 330-9595
  • 273 Sussex Ave E, Tenino, WA 98589-9359 · (360) 264-5665

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5761478 (ID)
Social Worker 104100000XLW61310284 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073088779

Jose Gerardo Pacheco, LICSW, MSW's National Provider Identifier is 1073088779, issued on Oct 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Mar 19, 2025.