Provider Demographics
NPI:1568631216
Name:HIDALGO, LISA P (LCSW-CPRP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:P
Last Name:HIDALGO
Suffix:
Gender:
Credentials:LCSW-CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:900 OCHSNER BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8275
Practice Address - Country:US
Practice Address - Phone:985-249-2383
Practice Address - Fax:985-249-2384
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical