TIFFANI ANNE PACHECO (MSW) – Social Worker, NPI 1497302327
Social Worker
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Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
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Provider Addresses for TIFFANI ANNE PACHECO (MSW)
East Warren Avenue, Midtown, Detroit, Wayne County, Michigan, 48236, United States
DETROIT, MI 482152112
Phone: (313) 822-6940
Type: Location
24211, Deer Creek Drive, Flat Rock, Wayne County, Michigan, 48134, United States
FLAT ROCK, MI 481341785
Phone: (734) 925-1896
Type: Mailing
18635 BOWIE ST
SOUTHGATE, MI 481952805
Phone: (734) 556-2963
Type: Location
1506 PINGREE AVE
LINCOLN PARK, MI 481462145
Phone: (734) 925-1896
Type: Mailing
13101 ALLEN RD
SOUTHGATE, MI 481952216
Phone: (734) 258-0122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240904001121 | I | Clinical Social Worker | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Psychologist | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | NC | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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