Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aishah Boodram, LCSW

Individual provider Clinical Social Worker · NPI 1689052813

Aishah Boodram, LCSW is a Clinical Social Worker in Winter Garden, Florida. Qualified in 1998, 28 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
28
Licensed in
FL, GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10139 Beach Port Dr
Winter Garden, FL 34787-4413
Phone: (618) 472-8964
Fax: (404) 487-8907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 Windgrove Ln, Suwanee, GA 30024-7010 — (678) 472-8964

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16655 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW004935 (GA)

Record details

NPI number1689052813
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2015
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020
Mailing address10139 Beach Port Dr, Winter Garden, FL 34787-4413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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