Active NPI
Liesl Marie Botelho, LCSW
- Clinical Social Worker
- Ocala, FL
National Provider Identifier
1639490972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW26234
- Practice address
- 4420 SE 53Rd Ave
Ocala, FL 34480-7403 - Phone
- (781) 521-8202
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW26234 | FL | Primary |
Addresses
Primary practice location
4420 SE 53Rd Ave
Ocala, FL 34480-7403
Mailing address
4420 SE 53Rd Ave
Ocala, FL 34480-7403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1639490972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 SE 53RD AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344807403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 SE 53RD AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344807403",
"telephone_number": "781-521-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTELHO",
"first_name": "LIESL",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW26234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.