P Praxis·MD
● Active Type 1 · Individual

Jose Gerardo Pacheco, LICSW, MSW

Social Worker·Boise, ID· NPI 1073088779 · Enumerated 2018 · 7 years on NPI
Pacheco is 1 of 576 social worker providers in Boise and 1 of 2000 in Idaho.
NPI age
7 years
Enumerated 2018-10-09
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
7 years
↓ 3 yr below median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Practice location
4750 N Five Mile Rd
Boise, ID 837132715
📞 2089960931
Mailing address
4750 N Five Mile Rd
Boise, ID 837132715
📞 2086149448

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2690 Ne Kresky Ave
Chehalis, WA 985322412
📞 3603309595 x2141fax 3603307865
Location 3
273 Sussex Ave E
Tenino, WA 985899359
📞 3602645665fax 3603307865

Specialties

  • Social Worker Primary
    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...
    ID license #5761478 taxonomy 1041C0700X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    WA license #LW61310284 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

Recently enumerated nearby: 12 new social worker providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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