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Individual
MS. MADELINE MALDONADO
Active
Individual
MS. MADELINE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, LCSW, LSCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2010001491
MO
1041C0700X
Clinical Social Worker
3937
KS
1041C0700X
Clinical Social Worker
Primary
P062204-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269918
MHN INSURANCE PROVIDER #
NY
01
—
P12001881
MULTIPLAN PROVIDER #
NY
01
—
P2883938
OXFORD PLAN PROVIDER #
NY
Enumeration date
04/02/2007
Last updated
08/19/2022
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