Individual provider Active NPI

Alexis Lynn Rotkowitz, LCSW

  • Clinical Social Worker
  • Coconut Creek, FL
National Provider Identifier
1912637430
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4073 Cocoplum Cir
Coconut Creek, FL 33063-5967
Phone
(954) 390-7654
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 Primary

Addresses

Primary practice location

4073 Cocoplum Cir
Coconut Creek, FL 33063-5967

Mailing address

4073 Cocoplum Cir
Coconut Creek, FL 33063-5967
Phone (561) 886-7625

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
I20251002000376 FL Practitioner - Clinical Social Worker 6507369139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Dandelion Behavioral Health LLCGroup PAC ID 9739600685, 12 clinicians

Practice addresses (Care Compare)

1777 Tamiami TRL
Suite 500
Port Charlotte, FL 33948-1083
Phone (941) 780-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Behavioral Health LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

1777 Tamiami Trl
Ste 500
Port Charlotte, FL 33948
Phone (941) 391-6605

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1912637430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 COCOPLUM CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635967",
            "telephone_number": "561-886-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 COCOPLUM CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635967",
            "telephone_number": "954-390-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTKOWITZ",
        "first_name": "ALEXIS",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.