Active NPIIndividual provider

Mr. John A Pacheco, LCSW, LADC

Social Worker, Clinical in Stratford, Connecticut

NPI Number1073531133
Practice location
1825 Barnum Ave, Suite #304, Stratford, CT 06614-5333
Fax
203-375-3048
Last updated
January 31, 2017

John A Pacheco is a Social Worker, Clinical based in Stratford, CT. John A Pacheco practices in Stratford, CT and has the professional credentials of LCSW, LADC. The NPI Number for John A Pacheco is 1073531133 and holds a License No. 000248 (CT). The current practice location address for John A Pacheco is 1825 Barnum Ave, Suite #304, Stratford, CT 06614-5333 and can be reached out via phone at 203-375-5782 and via fax at 203-375-3048.

Provider Profile Details

NPI Number
1073531133
Provider Name
John A Pacheco
Credential
LCSW, LADC
Provider Entity Type
Individual
Gender
Male
Address
1825 Barnum Ave, Suite #304, Stratford, CT 06614-5333
Phone Number
203-375-5782
Fax Number
203-375-3048
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2006
Last Update Date
January 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1825 Barnum Ave
Suite #304
Stratford, CT 06614-5333
Zip
06614-5333
Phone Number
203-375-5782
Fax Number
203-375-3048
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
2505 Main St Ste 231
Stratford, CT 06615-5839
City
Stratford
State
CT
Zip
06615-5839
Phone Number
203-375-5782
Fax Number
203-375-3048

License Information

License Number (1)
000248
License State (1)
CT
License Number (2)
001606
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Stratford, CT

View all Social Worker, Clinical providers in Stratford →

Frequently Asked Questions

What is the NPI number of Mr. John A Pacheco, LCSW, LADC?

The NPI number of Mr. John A Pacheco, LCSW, LADC is 1073531133. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. John A Pacheco, LCSW, LADC?

Mr. John A Pacheco, LCSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 000248.

Where does Mr. John A Pacheco, LCSW, LADC practice?

The practice location is 1825 Barnum Ave, Suite #304, Stratford, CT 06614-5333. The office can be reached at 203-375-5782 (phone) or 203-375-3048 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073531133 directly on the NPPES registry website.

Browse related providers