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

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: August 16, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Nurse Practitioner (Primary Care)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jose Caraballo located?

Jose Caraballo practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 825-0300.

What is Jose Caraballo's specialty?

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

Is Jose Caraballo enrolled in Medicare?

Yes. Jose Caraballo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Caraballo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jose Caraballo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 9 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.