SearchIdahoClinical Social Worker

Jose Pacheco, LICSW, MSW

NPI 1073088779 · on the registry since 2018

Practice

Address
4750 N Five Mile Rd
Boise, ID 83713
Phone
(208) 996-0931
Organisation at this address
Physicians Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 2690 Ne Kresky Ave, Chehalis, WA
  • 273 Sussex Ave E, Tenino, WA

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Social Worker
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho