Provider Demographics
NPI:1851468821
Name:SORIANO-HIDALGO, LUIS A (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:A
Last Name:SORIANO-HIDALGO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 VILLA ANTIGUA CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-4208
Mailing Address - Country:US
Mailing Address - Phone:915-346-5880
Mailing Address - Fax:915-219-8401
Practice Address - Street 1:725 VILLA ANTIGUA CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-4208
Practice Address - Country:US
Practice Address - Phone:915-346-5880
Practice Address - Fax:915-219-8401
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical