Provider Demographics
NPI:1376784629
Name:PACINI, VALERIE SHINESWARMLY (LCSW/LISW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE SHINESWARMLY
Middle Name:
Last Name:PACINI
Suffix:
Gender:F
Credentials:LCSW/LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:PORTALES
Mailing Address - State:NM
Mailing Address - Zip Code:88130-0626
Mailing Address - Country:US
Mailing Address - Phone:575-356-9884
Mailing Address - Fax:575-356-9908
Practice Address - Street 1:100 S AVENUE A STE B7
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-5917
Practice Address - Country:US
Practice Address - Phone:575-356-9884
Practice Address - Fax:575-356-9908
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-069541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical