Active NPI
Katia Moreno Maldonado, MA
- Clinical Social Worker
- Caguas, PR
National Provider Identifier
1730663261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26176
- Practice address
- Consolidated Mall B5
Caguas, PR 00726-9809 - Phone
- (787) 704-0705
- Fax
- (787) 744-7444
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26176 | PR | Primary |
Addresses
Primary practice location
Consolidated Mall B5
Caguas, PR 00726-9809
Mailing address
W22 Calle Lealtad
4Ta Seccion Levittown
Toa Baja, PR 00949
Phone (787) 704-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23629 | Other | PR | MSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26176 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1730663261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W22 CALLE LEALTAD",
"address_2": "4TA SECCION LEVITTOWN",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-704-0705",
"fax_number": "787-744-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONSOLIDATED MALL B5",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007269809",
"telephone_number": "787-704-0705",
"fax_number": "787-744-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO MALDONADO",
"first_name": "KATIA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "26176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSW",
"identifier": "23629",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.