Roosevelt Maldonado, LICSW
Social Worker, Clinical in East Providence, Rhode Island
1003525601- Practice location
- 105 Waterman Ave # 224, East Providence, RI 02914-4305
- Phone
- 401-585-3435
- Fax
- —
- Last updated
- October 31, 2026
Roosevelt Maldonado is a Social Worker, Clinical based in East Providence, RI. Roosevelt Maldonado practices in East Providence, RI and has the professional credentials of LICSW. The NPI Number for Roosevelt Maldonado is 1003525601 and holds a License No. ISW04943 (RI). The current practice location address for Roosevelt Maldonado is 105 Waterman Ave # 224, East Providence, RI 02914-4305 and can be reached out via phone at 401-585-3435.
Provider Profile Details
- NPI Number
- 1003525601
- Provider Name
- Roosevelt Maldonado
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 105 Waterman Ave # 224, East Providence, RI 02914-4305
- Phone Number
- 401-585-3435
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 22, 2022
- Last Update Date
- October 31, 2026
- Certification Date
- October 31, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Waterman Ave # 224
East Providence, RI 02914-4305 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-4305
- Phone Number
- 401-585-3435
Provider Business Mailing Address Details
- Address
- 105 Waterman Ave # 224
East Providence, RI 02914-4305 - City
- East Providence
- State
- RI
- Zip
- 02914-4305
- Phone Number
- 401-213-9133
License Information
- License Number
- ISW04943
- License State
- RI
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roosevelt Maldonado, LICSW?
The NPI number of Roosevelt Maldonado, LICSW is 1003525601. It was assigned on November 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Roosevelt Maldonado, LICSW?
Roosevelt Maldonado, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW04943.
Where does Roosevelt Maldonado, LICSW practice?
The practice location is 105 Waterman Ave # 224, East Providence, RI 02914-4305. The office can be reached at 401-585-3435 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003525601 directly on the NPPES registry website.