NPI 1003525601

Roosevelt Maldonado

Practitioner Clinical Social Worker Providence, RI

Practice location

Address: 830 Chalkstone Ave, Providence, RI 02908-4734
Phone: (401) 273-7100

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW02822 (RI)

Other Social Worker providers in Rhode Island →

Registry record

NPI: 1003525601
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2022
Record last updated: 22 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.