Jessica Maldonado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

86980 Issued in CA

Practice address

546 S Citrus Ave
Azusa, CA 91702-5932

Phone

(626) 815-5844

NPI assigned

Jun 7, 2012

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1063774826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S CITRUS AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025932",
            "telephone_number": "323-391-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S CITRUS AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025932",
            "telephone_number": "626-815-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nghia Luu
• Peter Luu, D.D.S.
• Adriana Luviano Cortes
• Kaley Macias, RN
• Osborn Mak
• Kyle Mann
• Meagan Rachelle Mansfield
• Ivee Rozette Pajarillo Manuel
• Victoria Vanesa Mariscal
• Patricia F Marquez, MD

• Clinical Social Worker in Azusa, CA
• Providers in Azusa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.