CHRISTINE PACHECO (LCSW) – Clinical Social Worker, NPI 1033631429

Clinical Social Worker

CHRISTINE PACHECO (LCSW) is a healthcare provider. based in Edmond, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7144 (OK). The NPI Number for CHRISTINE PACHECO (LCSW) is 1033631429

Main info

Female

13 Years Of Experience

Accepts Medicare Assignment

Name

CHRISTINE PACHECO (LCSW)

NPI

1033631429

Phone

(405) 305-3024

Address

1501 EAGLE DR

Enumeration Date

7 July 2017

Last Update Date

4 December 2019

Doctor Profile

Medical School Name

UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE

Secondary Phone

4057561414

Graduation Year

2013 (13 years ago)

PAC ID

6305285487

Group Practice PAC ID

9032200084

Professional Enrollment ID

I20240423000631

Address ID

OK730525634LI216XXSTXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for CHRISTINE PACHECO (LCSW)

1501, Eagle Drive, Edmond, Oklahoma County, Oklahoma, 73034, United States
EDMOND, OK 730346060
Phone: (405) 305-3024
Type: Mailing
105365 S HIGHWAY 102
MCLOUD, OK 748513051
Phone: (405) 964-2081
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: 2024-04-23

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

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
I20240423000631	I	Clinical Social Worker	OK	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.

Verify on CMS Revalidation Lookup Tool

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 73034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9032200084View full group profile

Name	Specialty	State
MALORI LAWRENCE (APRN)	Nurse Practitioner	OK
DR. MITSI A FAUBION (DO)	Family Practice	OK
SEAN KELLY BAKER (CNP)	Nurse Practitioner	OK
MRS. ELIZABETH CLOWERS (NP-C)	Nurse Practitioner	CO
JAMES RICHARD LYNCH (APRN)	Nurse Practitioner	OK
MISS MACY BOWEN (APRN)	Nurse Practitioner	OK
MRS. SARAH ELIZABETH BUSACCO (APRN-CNP)	Nurse Practitioner	OK
KACEY L WALLACE (DO)	-	OK
NOVYCE V FERGUSON (APRN)	-	OK
ROSS LANE FISHER (MD)	Internal Medicine	OK