Provider Demographics
NPI:1124783261
Name:HINOJOSA, FIDELA ESPINOZA (LCSW)
Entity type:Individual
Prefix:
First Name:FIDELA
Middle Name:ESPINOZA
Last Name:HINOJOSA
Suffix:
Gender:F
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:PO BOX 475
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:TX
Mailing Address - Zip Code:78593-0475
Mailing Address - Country:US
Mailing Address - Phone:956-739-8709
Mailing Address - Fax:
Practice Address - Street 1:19849 NORTH POMELO ROAD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:TX
Practice Address - Zip Code:78593
Practice Address - Country:US
Practice Address - Phone:956-739-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011195061041C0700X
TX649781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical