Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roosevelt Maldonado

Individual provider Clinical Social Worker · NPI 1003525601

Roosevelt Maldonado is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2022.

Licensed in
RI
In the registry since
2022

Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW02822 (RI)

Record details

NPI number1003525601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

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