AISHAH BOODRAM LCSW
NPI 1689052813
Social Worker - Clinical in Winter Garden, FL

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
10139 BEACH PORT DR, WINTER GARDEN, FL 34787(618) 472-8964(404) 487-8907 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2020, Apr 16, 2020, Oct 29, 2019 and 1 more (4 updates tracked since 2019).

About Aishah Boodram Lcsw NPPES

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

AISHAH BOODRAM LCSW (NPI 1689052813) is an individual clinical provider in Winter Garden, Florida, licensed in Florida (SW16655) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Suwanee, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1689052813
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAISHAH BOODRAMCredential: LCSW
Location Address10139 BEACH PORT DRWinter Garden, FL 34787-4413
Mailing Address10139 Beach Port DrWinter Garden, FL 34787-4413 · (678) 472-8964 · Fax (404) 487-8907
Fax(404) 487-8907
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 7, 2015
Last NPPES UpdateJune 26, 20204 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1689052813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in FL · SW16655 Licensed in GA · CSW004935
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.
10139 BEACH PORT DR, Winter Garden, FL 34787

Other Names 1

Former Name (1)Aisha Khan

Secondary Practice Location 1

Location 1612 Windgrove LnSuwanee, GA 30024-7010 · Phone (678) 472-8964

Accepted Insurance

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

Aishah Boodram 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 ID2062711757
PECOS Enrollment IDI20190612001154
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 34787 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

Social Worker (Clinical)
10139 BEACH PORT DR
WINTER GARDEN, FL 34787
Social Worker (Clinical)
10139 BEACH PORT DR
WINTER GARDEN, FL 34787

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 Aishah Boodram's NPI number?

The NPI number for Aishah Boodram is 1689052813. It was assigned to this individual provider in the NPPES registry on May 7, 2015. The provider is also known as Aisha Khan.

Where is Aishah Boodram located?

Aishah Boodram practices at 10139 Beach Port Dr, Winter Garden, FL 34787. The listed phone number is (618) 472-8964.

What is Aishah Boodram's specialty?

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

Is Aishah Boodram enrolled in Medicare?

Yes. Aishah Boodram 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.

What insurance does Aishah Boodram accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Aishah Boodram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aishah Boodram was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.