Jovanna Maldonado, LCSW

Individual provider Active NPI Clinical Social Worker · Avenal, CA

NPI 1164159869 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1164159869
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
130081 (CA)
Practice address
1 Kings Way
Avenal, CA 93204-9708
Phone
(559) 386-0587
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Current
since Aug 7, 2022
Accepting new patients

Locations

1 Kings Way
Avenal, CA 93204
Phone (559) 386-0587

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 130081 CA Yes

Addresses

Primary practice location

1 Kings Way
Avenal, CA 93204-9708

Mailing address

4741 Joaquin Ave
Clovis, CA 93619-8511
Phone (559) 300-4370

Other providers in Avenal, CA

All providers in Avenal, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.