Individual provider · Type 1 NPI

Ebony Maldonado, LCSW-A

Clinical Social Worker · Winston Salem, NC

NPI number 1205706959 Active

Practice location

403 S Hawthorne Rd
Winston Salem, NC 27103-3784

Call (336) 716-0855 Map

Fax (336) 716-0822

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

  • 5580 Angel Oaks Dr, Winston Salem, NC 27105-9112 · (929) 351-7288

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XP024065 (NC)

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 1205706959

Ebony Maldonado, LCSW-A's National Provider Identifier is 1205706959, issued on Nov 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 27, 2026.