Individual provider Active NPI

Alicia B. Pajares, LCSW

  • Clinical Social Worker
  • Indiantown, FL
National Provider Identifier
1659357903
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5271 Issued in FL
Practice address
15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Phone
(772) 597-0411
Fax
(772) 597-0412
NPI assigned
Dec 19, 2005
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5271 FL Primary

Addresses

Primary practice location

15818 SW Warfield Blvd
Indiantown, FL 34956-3513

Mailing address

1639 Forum PL
Ste 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821

Other identifiers 5

IdentifierTypeStateIssuer
764835900MedicaidFL
766992500MedicaidFL
650789015OtherFLTRICARE
285593OtherFLAMERIGROUP
SW5271OtherFLFL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090428000129 FL Practitioner - Clinical Social Worker 0749354413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multilingual Psychotherapy Centers IncGroup PAC ID 2264517382, 6 clinicians

Practice addresses (Care Compare)

1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5271FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jam Care Transport, LLC Current Accepting new patients
Multilingual Psychotherapy Centers, Inc. CurrentSince Mar 6, 2020 Accepting new patients

Locations

1639 Forum Pl
Ste 7
West Palm Beach, FL 33401

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1659357903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "STE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821",
            "fax_number": "561-712-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15818 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349563513",
            "telephone_number": "772-597-0411",
            "fax_number": "772-597-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJARES",
        "first_name": "ALICIA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764835900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766992500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "650789015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "285593",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "SW5271",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiantown, FL

Sources for this page

Verify at the official NPI Registry.