JOSE H CARABALLO LCSW
NPI 1063804177
Social Worker - Clinical in Hialeah, FL

Q: What is Jose Caraballo's NPI number?

The NPI number for Jose Caraballo is 1063804177. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Q: What is Jose Caraballo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jose Caraballo was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2015PECOS EnrolledAccepts Medicare Assignment

4175 W 20TH AVE, HIALEAH, FL 33012(305) 825-0300 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Aug 14, 2018 (2 updates tracked since 2018).

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About Jose H Caraballo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE H CARABALLO LCSW (NPI 1063804177) is an individual clinical provider in Hialeah, Florida, licensed in Florida (14966) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1063804177

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOSE H CARABALLOCredential: LCSW

Location Address4175 W 20TH AVEHialeah, FL 33012-5874

Mailing Address3865 W 9th AveHialeah, FL 33012-7284 · (305) 968-1257

Phone(305) 825-0300

Sole ProprietorNo

Medical School CMSBarry University School Of Podiatric MedicineGraduated 2014

Enumeration DateFebruary 26, 2015

Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1063804177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · 14966

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4175 W 20TH AVE, Hialeah, FL 33012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose H Caraballo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002264215

PECOS Enrollment IDI20231129001077

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jose Caraballo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Citrus Health Network Inc

Same address

Federally Qualified Health Center (FQHC)

4175 W 20TH AVE
Hialeah, FL 33012

Reassigned Medicare billing, Florida enrollment
114 clinicians in this Medicare group

NPI 1275647752 (305) 558-0151

Grow Healthcare Group PA

9.9 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Florida enrollment
3,079 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.92 – $187.05

Typical copayment $0.00 (range $15.23 – $46.76)

Most-billed visit code NA

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA RAMIREZ PSYD

Psychologist