Individual provider · Type 1 NPI

Roosevelt Maldonado, LICSW

Clinical Social Worker · East Providence, RI

NPI number 1003525601 Active

Practice location

105 Waterman Ave # 224
East Providence, RI 02914-4305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW04943 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003525601

Roosevelt Maldonado, LICSW's National Provider Identifier is 1003525601, issued on Nov 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Providence, RI. The record was last updated on Oct 31, 2026.