Samantha C Pacheco in Charlotte - Clinical

Samantha C Pacheco - NPI 1700057510

Samantha C Pacheco is a Clinical in Charlotte, North Carolina. Samantha C Pacheco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samantha C Pacheco is 1700057510. The last update date is 2008-03-19.

Samantha C Pacheco's current location address is 5800 Executive Center Dr Ste 101, Charlotte, North Carolina. You can contact this provider via phone number 7042270658 and fax number 7042270690. The mailing address for Samantha C Pacheco is 5800 Executive Center Dr Ste 101, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha C Pacheco
Address 5800 Executive Center Dr Ste 101, Charlotte, North Carolina
Phone Number 7042270658
Fax Number 7042270690
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1700057510
Provider Enumeration Date 2008-03-19
Last Updated Date 2008-03-19

Provider Mailing Address Detail

Address 5800 Executive Center Dr Ste 101
City Charlotte
State North Carolina (NC)
Post Code 282128869
Phone Number 7042270658
Fax Number 7042270690

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C005544
Definition:
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, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6005632 NC --

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FAQs about Samantha C Pacheco

What is the unique 10-digit identifier code issued to Samantha C Pacheco by the Centers for Medicare & Medicaid Services?

The Samantha C Pacheco has been assigned the NPI (National Provider Identifier) 1700057510 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Samantha C Pacheco's facilities are geographically located?

The facilities of Samantha C Pacheco are physically situated at the following location: 5800 Executive Center Dr Ste 101, Charlotte, NC, 282128869.

What is the Samantha C Pacheco's area of specialization and corresponding taxonomy classification?

The Samantha C Pacheco's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Samantha C Pacheco receive its 1700057510 assignment from the Centers for Medicare & Medicaid Services?

The Samantha C Pacheco was assigned its 1700057510 by the Centers for Medicare & Medicaid Services on 2008-03-19.

As of what date were the Samantha C Pacheco's details last updated?

The information pertaining to the Samantha C Pacheco, including its address, specialty, and other details, was most recently updated on 2008-03-19.

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