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MR. ALEXANDER JOSE PORTILLO LCSW
NPI 1366148884
Social Worker - Clinical in Syracuse, NY

Active since February 06, 2023PECOS EnrolledAccepts Medicare Assignment
742 JAMES ST, SYRACUSE, NY 13203(315) 703-2804 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Alexander Jose Portillo Lcsw NPPES

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

MR. ALEXANDER JOSE PORTILLO LCSW (NPI 1366148884) is an individual clinical provider in Syracuse, New York, licensed in New York (098994) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366148884
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ALEXANDER JOSE PORTILLOCredential: LCSW
Location Address742 JAMES STSyracuse, NY 13203-2017
Mailing Address890 Seventh North St, Ste 200Liverpool, NY 13088-4980
Phone(315) 703-2804
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 6, 2023
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1366148884 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 NY · 098994
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.
742 JAMES ST, Syracuse, NY 13203
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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. Alexander Jose Portillo 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 ID9436689205
PECOS Enrollment IDI20250207003199
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 13203 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

DR. AHMED R NIZAR M.D.
Psychiatry & Neurology (Psychiatry)
742 JAMES ST, OUTPATIENT MENTAL HEALTH SERVICES
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
MS. JAMIE LYNNE PALMER LCSW
Social Worker (Clinical)
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
SHEILA S PAOLINI LCSW-R
Social Worker (Clinical)
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
MRS. SUSAN DONOHUE BONOMO LCSW-R
Social Worker (Clinical)
742 JAMES ST, OUTPATIENT MENTAL HEALTH
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
DR. YAJAIRA YURI PAPARONE M.D.
Psychiatry & Neurology (Psychiatry)
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
MS. STEPHANIE LEE STARIE LMSW
Social Worker (Clinical)
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2700
OLIVIA LEE KROM LMSW
Social Worker
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2701
CHIA WEE LCSW
Social Worker (Clinical)
742 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 703-2800

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 Alexander Portillo's NPI number?

The NPI number for Alexander Portillo is 1366148884. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Alexander Portillo located?

Alexander Portillo practices at 742 James St, Syracuse, NY 13203. The listed phone number is (315) 703-2804.

What is Alexander Portillo's specialty?

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

Is Alexander Portillo enrolled in Medicare?

Yes. Alexander Portillo 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 Alexander Portillo was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.