Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Roosevelt Maldonado, LICSW

Individual provider Clinical Social Worker · NPI 1003525601

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

Licensed in
RI
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

105 Waterman Ave # 224
East Providence, RI 02914-4305
Phone: (401) 585-3435
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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
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

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