Individual provider · Type 1 NPI

Jacqueline Vivanco Perez, LCSW

Clinical Social Worker · Albuquerque, NM

NPI number 1659566313 Active

Practice location

1330 San Pedro Dr NE Ste 108
Albuquerque, NM 87110-6744

Call (505) 209-9227 Map

Mailing address

PO Box 72922
Albuquerque, NM 87195-2922

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM-05571 (NM)
Clinical Social Worker 1041C0700XI-07176 (NM)
Clinical Social Worker Primary 1041C0700XC07176 (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 1659566313

Jacqueline Vivanco Perez, LCSW's National Provider Identifier is 1659566313, issued on Sep 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 4, 2025.