Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jose Gerardo Pacheco, LICSW, MSW

Individual provider Clinical Social Worker · NPI 1073088779

Jose Gerardo Pacheco, LICSW, MSW is a Clinical Social Worker in Boise, Idaho. Works from 3 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4750 N Five Mile Rd
Boise, ID 83713-2715
Phone: (208) 996-0931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 — (360) 330-9595
  • 273 Sussex Ave E, Tenino, WA 98589-9359 — (360) 264-5665

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5761478 (ID)
Social Worker Taxonomy 104100000X · Licence LW61310284 (WA)

Record details

NPI number1073088779
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , MSW
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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