Individual provider Active NPI

Leonardo Hidalgo, PSY.D, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1629302385
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9597 Issued in FL
Practice address
1695 NW 9TH Ave Ste 2416
Miami, FL 33136-1409
Phone
(305) 355-8059
NPI assigned
Sep 29, 2009
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW9597 FL
Clinical Social Worker 1041C0700X SW9597 FL Primary

Addresses

Primary practice location

1695 NW 9TH Ave Ste 2416
Miami, FL 33136-1409

Mailing address

1695 NW 9TH Ave Ste 2416
Miami, FL 33136-1409
Phone (305) 355-8059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251014004662 FL Practitioner - Clinical Social Worker 6901393842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, shared by 12 NPIs, 56 clinicians

Practice addresses (Care Compare)

15055 NW 27 Ave
Opa Locka, FL 33054-3365
Phone (786) 466-2800

1695 Nw9Th Ave
Miami, FL 33136-1409
Phone (305) 955-8234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9597FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 8, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 8, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 8, 2025 Accepting new patients

Locations

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

1695 NW 9th Ave
Ste 2416
Miami, FL 33136
Phone (305) 355-7285

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1629302385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE STE 2416",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE STE 2416",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW9597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.