# MS. MADELINE MALDONADO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578684320
- **Gender:** F
- **Credential:** LCSW-R, LCSW, LSCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2010001491 | MO | — |
| 1041C0700X | Clinical Social Worker | 3937 | KS | — |
| 1041C0700X | Clinical Social Worker | P062204-1 | NY | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 269918 | MHN INSURANCE PROVIDER \# | NY |
| 01 | — | P12001881 | MULTIPLAN PROVIDER \# | NY |
| 01 | — | P2883938 | OXFORD PLAN PROVIDER \# | NY |