Pablo Hurtado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102490 Issued in NY

Practice address

52 Woodstream Dr
Grand Island, NY 14072-1485

Phone

(716) 239-9311

NPI assigned

Aug 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobile Counseling of New Jersey

  • Clinical Social Worker
  • Rutherford, NJ
  • NPI 1538870142
  Authorized official Same address or phone
• Mobile Counseling of New York LCSW, PLLC

  • Clinical Social Worker
  • Grand Island, NY
  • NPI 1700359700
  NPD

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1982331351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WOODSTREAM DR",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721485",
            "telephone_number": "716-239-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WOODSTREAM DR",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721485",
            "telephone_number": "716-239-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hennigar & Hennigar DMD, PC (American Family Dental Group)
• William Grant Hennigar Jr., DMD
• Danielle Renee Henningham
• Holly House
• Julia Mae Houseknecht, PHARM D
• Island Body Works LLC
• Tia Mariana Jackson
• James Town Transportation Inc
• Sara Jank, MS, RDN, CDN
• Lujean Jennings, M.D.

• Clinical Social Worker in Grand Island, NY
• Providers in Grand Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.