Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAIME BOTERO LCSW
NPI 1083744155
Social Worker - Clinical in Los Angeles, CA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200(323) 985-9940 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jaime Botero Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAIME BOTERO LCSW (NPI 1083744155) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW26451) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083744155
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAIME BOTEROCredential: LCSW
Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629
Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200 · Fax (323) 985-9940
Fax(323) 985-9940
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 6, 2007
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1083744155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW26451
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4425 S CENTRAL AVE, Los Angeles, CA 90011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jaime Botero Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42349904
PECOS Enrollment IDI20100602000667
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Physician Assistant
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Nurse Practitioner (Psychiatric/Mental Health)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Case Manager/Care Coordinator
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Community Health Worker
4425 S CENTRAL AVE
LOS ANGELES, CA 90011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaime Botero's NPI number?

The NPI number for Jaime Botero is 1083744155. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jaime Botero located?

Jaime Botero practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.

What is Jaime Botero's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jaime Botero enrolled in Medicare?

Yes. Jaime Botero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaime Botero was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.