Elga Maldonado, LMSW

Individual provider Active NPI Clinical Social Worker · Dover Plains, NY

NPI 1457600850 · NPPES record last updated Aug 31, 2012

Key facts

NPI
1457600850
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
086224-1 (NY)
Practice address
7 Market Street
Dover Plains, NY 12522-5136
Phone
(845) 877-4100
Fax
(845) 877-4112
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
086224-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086224-1 NY Yes

Addresses

Primary practice location

7 Market Street
Dover Plains, NY 12522-5136

Mailing address

7 Market Street
Dover Plains, NY 12522-5136
Phone (845) 877-4100

Other providers in Dover Plains, NY

All providers in Dover Plains, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.