Organization Active NPI

Elite Dna

  • Social Worker
  • Lehigh Acres, FL
National Provider Identifier
1063354413
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ELITE DNA
Practice address
2913 Lee Blvd
Lehigh Acres, FL 33971-1438
Phone
(239) 491-8204
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xanat Romero, ROMERO
Title
Unlicensed Therapist
Phone
(239) 841-5298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2913 Lee Blvd
Lehigh Acres, FL 33971-1438

Mailing address

4910 Silver Gate LN # D-410
Fort Myers, FL 33907-1340
Phone (239) 841-5298

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1063354413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 SILVER GATE LN # D-410",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071340",
            "telephone_number": "239-841-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711438",
            "telephone_number": "239-491-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "XANAT",
        "authorized_official_title_or_position": "UNLICENSED THERAPIST",
        "authorized_official_telephone_number": "239-841-5298",
        "authorized_official_credential": "ROMERO"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.