Healthcare Provider Details

I. General information

NPI: 1043341092
Provider Name (Legal Business Name): SABRINA PACHECO MSW/LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8616 LA TIJERA BLVD SUITE 408
LOS ANGELES CA
90045
US

IV. Provider business mailing address

840 N AVENUE 66
LOS ANGELES CA
90042-1508
US

V. Phone/Fax

Practice location:
  • Phone: 310-337-7827
  • Fax:
Mailing address:
  • Phone: 626-517-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW83568
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW 33227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: