# KATIE MALDONADO LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649913864
- **Authorized official:** KATIE ELIZABETH MALDONADO LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (804) 993-4769

## Contact information

- **Practice address:** 2380 LIBERTY WAY STE 100, VIRGINIA BEACH, VA 23456-3466
- **Practice address phone:** (804) 993-4769
- **Practice address fax:** (916) 619-1942
- **Mailing address:** PO BOX 1925, LINCOLN, CA 95648-1447
- **Mailing address phone:** (916) 884-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2022
- **Last updated:** 04/14/2026