Jaime Botero, LCSW
Individual provider Active NPI Clinical Social Worker · Los Angeles, CA
NPI 1083744155 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1083744155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW26451 (CA)
- Practice address
- 4425 S Central Ave
Los Angeles, CA 90011-3629 - Phone
- (323) 908-4200
- Fax
- (323) 985-9940
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Central Family Health Center
Practice addresses (Care Compare)
4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100602000667 | CA | Practitioner - Clinical Social Worker | 0042349904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Family Health Center | Current | Accepting new patients | |
| South Central Family Health Center | Current |
Accepting new patients | |
| South Central Family Health Center | Current |
Accepting new patients | |
| Alma Family Services | Past | Accepting new patients |
Locations
7910 Atlantic Ave
Ste M
Cudahy, CA 90201
Phone (323) 908-4247
2680 Saturn Ave
Ste 110
Huntington Park, CA 90255
7300 Santa Fe Ave
Huntington Pk, CA 90255
Phone (323) 277-8900
4425 S Central Ave
Los Angeles, CA 90011
3410 Hooper Ave
Los Angeles, CA 90011
Interoperability endpoints
- jaime.botero.p1@direct.scfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW26451 | CA | Yes |
Addresses
Primary practice location
4425 S Central Ave
Los Angeles, CA 90011-3629
Mailing address
4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200
NPI Registry JSON
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1083744155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900113629",
"telephone_number": "323-908-4200",
"fax_number": "323-985-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900113629",
"telephone_number": "323-908-4200",
"fax_number": "323-985-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTERO",
"first_name": "JAIME",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW26451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Jennifer Cunha Botelho
- Cecilia Botello
- Jasmine Botello
- Monica Rocio Botello
- Timothy Eugene Botello
- Maria Elizabeth Botham
- Caitlin Bothwell
- Jillian Brooke Bothwell
- Armea Botros
- Dina Botros
All providers in Los Angeles, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.