Individual provider · Type 1 NPI

Lesley Dale Pacheco, MSW

Clinical Social Worker · Kirtland Afb, NM

NPI number 1104930734 Active

Practice location

2050 A 2nd Street
Kirtland Afb, NM 87117

Fax (505) 846-6250

Mailing address

2050A 2nd St SE
Albuquerque, NM 87117-5522

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XM-4311 (NM)
Clinical Social Worker Primary 1041C0700XI-06827 (NM)

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 1104930734

Lesley Dale Pacheco, MSW's National Provider Identifier is 1104930734, issued on Aug 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kirtland Afb, NM. The record was last updated on Sep 4, 2013.