Jose Pacheco, LICSW, MSW
NPI 1073088779 · Clinical Social Worker · Boise, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Pacheco, LICSW, MSW is a Clinical Social Worker provider in Boise, ID (NPI 1073088779).
Provider details
- NPI number
- 1073088779
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW, MSW
- Sex
- Male
- Sole proprietor
- No
- License
- 5761478 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2690 Ne Kresky AveChehalis, WA 98532-2412Phone: (360) 330-9595Fax: (360) 330-7865
- 273 Sussex Ave ETenino, WA 98589-9359Phone: (360) 264-5665Fax: (360) 330-7865
Registry dates
- Enumerated
- 2018-10-09
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Frequently asked questions
- What is Jose Pacheco's NPI number?
- Jose Pacheco's National Provider Identifier (NPI) is 1073088779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Pacheco's specialty?
- Jose Pacheco is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jose Pacheco located?
- Jose Pacheco's practice location on file with NPPES is 4750 N Five Mile Rd, Boise, ID 83713-2715.
- What is Jose Pacheco's phone number?
- The practice phone number listed in the NPPES registry for Jose Pacheco is (208) 996-0931.
- Does Jose Pacheco accept Medicare?
- Jose Pacheco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Pacheco's NPI active?
- Yes — Jose Pacheco's NPI (1073088779) is active in the NPPES registry as of the last update on 2025-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.