Active NPI
Luis A Hidalgo Gonzalez, LMSW
- Social Worker
- Bay Shore, NY
National Provider Identifier
1609434851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 85 W Main St
Bay Shore, NY 11706-8345 - Phone
- (631) 301-4868
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NY | ||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
85 W Main St
Bay Shore, NY 11706-8345
Mailing address
344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613
Other practice location 1
344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118947 | Other | NY | LICENSED MASTER SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1609434851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503923",
"telephone_number": "516-538-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068345",
"telephone_number": "631-301-4868"
}
],
"practiceLocations": [
{
"address_1": "344 Fulton Ave",
"address_purpose": "LOCATION",
"city": "Hempstead",
"state": "NY",
"postal_code": "115503923",
"country_code": "US",
"telephone_number": "516-538-2613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIDALGO GONZALEZ",
"first_name": "LUIS",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASTER SOCIAL WORKER",
"identifier": "118947",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.