Amanda Hidalgo, LCSW-BACS
Individual provider Active NPI Clinical Social Worker · Jackson, LA
NPI 1194415059 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1194415059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8060 (LA)
- Practice address
- 4502 Highway 951
Jackson, LA 70748-5103 - Phone
- (225) 937-7426
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8060 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8060 | LA | Yes |
Addresses
Primary practice location
4502 Highway 951
Jackson, LA 70748-5103
Mailing address
1245 Melanie St
Baton Rouge, LA 70815-4745
Other providers in Jackson, LA
- Makayla Ganes
- Melinda Harris Ganes
- Aslyn Nicole George
- Randy Harville
- Sarah Heiser
- Patricia Hollingworth
- Mar'Lesha Lorraine Hollins-Hills
- Brittani Hollins
- Phuong Ngoc Huynh
- Lotacha Irvin-Hayes
All providers in Jackson, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.