Individual provider Active NPI

Vanessa Otero, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1710692603
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19606 Issued in FL
Practice address
111 Executive Center Dr
West Palm Beach, FL 33401-4849
Phone
(561) 697-5500
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 SW19606 FL Primary

Addresses

Primary practice location

111 Executive Center Dr
West Palm Beach, FL 33401-4849

Mailing address

1400 Village Blvd Apt 523
West Palm Beach, FL 33409-2845
Phone (201) 687-2186

Other practice location 1

1400 Village Blvd Apt 523
West Palm Beach, FL 33409-2845
Phone (201) 687-2186

Other names 1

  • Vanessa Garcia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1710692603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE BLVD APT 523",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092845",
            "telephone_number": "201-687-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EXECUTIVE CENTER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014849",
            "telephone_number": "561-697-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Village Blvd Apt 523",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334092845",
            "country_code": "US",
            "telephone_number": "201-687-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.