Alexa Fernandez-Botero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21371 Issued in FL

Practice address

6037 Blue Lily Way
Winter Garden, FL 34787-7002

Phone

(941) 877-8632

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mana Health Partners PA

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1437925047
  Medicare reassignment NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1326726225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 DANIELS RD # 1281",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 BLUE LILY WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877002",
            "telephone_number": "941-877-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-BOTERO",
        "first_name": "ALEXA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yassel Feliciano Colon, M.A. SLP-CF
• Rachelle Felix
• Henrique Felski
• Shaneika Felton
• Kerry Brock Ferguson, PH.D.
• Ariane Jake Cabalbal Fernandez, FNP
• Jorge Luis Fernandez, MA 101050
• Richard Fernandez
• Samantha Fernandez, LMHC
• Guilherme Ferrari Alves Ruggeri, BEHAVIOR TECHNICIAN

• Clinical Social Worker in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.