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

Individual provider Clinical Social Worker · NPI 1083744155

Mr. Jaime Botero, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2000, 26 years ago. Practices with South Central Family Health Center, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2007
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

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone: (323) 908-4200
Fax: (323) 985-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW26451 (CA)

Record details

NPI number1083744155
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice South Central Family Health Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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