Guadalupe Maldonado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80737 Issued in CA

Practice address

21890 W Colorado Ave
San Joaquin, CA 93660-9773

Phone

(559) 693-2462

NPI assigned

Jul 22, 2008

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: guadalupe.orosco.p4@direct.vht.nextgenshare.com

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1184889826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21890 W COLORADO AVE",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936609773",
            "telephone_number": "559-203-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21890 W COLORADO AVE",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936609773",
            "telephone_number": "559-693-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "GUADALUPE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "80737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Husam S. Kaileh, M.D.
• Dalwinder Kaur
• Maninder Khosa
• Loan Hong Le, DDS
• Nancy Jesscia Lemus Solar, SCHOOL PSYCHOLOGIST
• Medical Ultrasound Services, LLC
• Sina Mofidi
• Salvador Escudero Moya, P.A.
• Joseph NG
• Joaquin Nunez

• Clinical Social Worker in San Joaquin, CA
• Providers in San Joaquin, 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 Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.