Melinda Maldonado, LCSW-R, CASAC
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1053178293
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1053178293
- Entity type
- Individual (NPI-1)
- Name
- Melinda Maldonado
- Credential
- LCSW-R, CASAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 3, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R080753-01 | NY | Yes |
Practice location
397 Bridge StBrooklyn, NY 11201-5292
Phone 631-532-8353
Mailing address
Po Box 40423Glen Oaks, NY 11004-0423
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