Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jacqueline Vivanco Perez, LCSW

Individual provider Social Worker · NPI 1659566313

MS. Jacqueline Vivanco Perez, LCSW is a Social Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1330 San Pedro Dr NE Ste 108
Albuquerque, NM 87110-6744
Phone: (505) 209-9227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C07176 (NM)
Social Worker Taxonomy 104100000X · Licence M-05571 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence I-07176 (NM)

Record details

NPI number1659566313
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

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