Melissa M Maldonado-Jardieu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088220-1 Issued in NY

Practice address

Utica City School District
929 York St.
Utica, NY 13502

Phone

(315) 368-6596

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa M Maldonado Former name

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1235880774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GREENMAN AVE",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171004",
            "telephone_number": "315-542-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UTICA CITY SCHOOL DISTRICT",
            "address_2": "929 YORK ST.",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-368-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO-JARDIEU",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MALDONADO",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri Ann Mahoney
• Lynn Mai, MD
• Morgan A Maitland, PA
• Murisa Malagic, DPM
• Sarah Elizabeth Malavasic
• Jennifer Marie Maldonado, PT
• Kelly Lee Malecki, LPN
• Goutham K Malempati, M.D.
• Annette Maliani-Hand, LCSW
• Kelly Ann Mallon, LMSW

• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.