Individual provider Active NPI

Fidela Espinoza Hinojosa, LCSW

  • Clinical Social Worker
  • Santa Rosa, TX
National Provider Identifier
1124783261
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64978 Issued in TX
Practice address
19849 North Pomelo Road
Santa Rosa, TX 78593
Phone
(956) 739-8709
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119506 MI
Clinical Social Worker 1041C0700X 64978 TX Primary

Addresses

Primary practice location

19849 North Pomelo Road
Santa Rosa, TX 78593

Mailing address

PO Box 475
Santa Rosa, TX 78593-0475
Phone (956) 739-8709

Other practice location 1

301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 433-6073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NH, MI, WI, DC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230302002990 TX Practitioner - Clinical Social Worker 5698148161 Reassigns benefits to 1 organization
I20250331002282 NH Practitioner - Clinical Social Worker 5698148161 Reassigns benefits to 2 organizations
I20250429001311 MI Practitioner - Clinical Social Worker 5698148161 Reassigns benefits to 2 organizations
I20260409002259 WI Practitioner - Clinical Social Worker 5698148161 Reassigns benefits to 1 organization
I20260413003723 DC Practitioner - Clinical Social Worker 5698148161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119506MIMDClinical Social Worker
64978TXMDClinical Social Worker
5199NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Apr 18, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 17, 2023 Accepting new patients
Elliot Professional Services CurrentSince Apr 1, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1124783261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "785930475",
            "telephone_number": "956-739-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19849 NORTH POMELO ROAD",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "78593",
            "telephone_number": "956-739-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Saint Joseph St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012241",
            "country_code": "US",
            "telephone_number": "920-433-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "FIDELA",
        "middle_name": "ESPINOZA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, TX

Sources for this page

Verify at the official NPI Registry.