Guadalupe Maldonado, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Joaquin, California. Her current practice location is
21890 W Colorado Ave, San Joaquin, California. You can reach out to her office (for appointments etc.) via phone at
(559) 693-2462.
Guadalupe Maldonado is licensed to practice in California (license number 80737) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184889826.
Healthcare Provider's Profile
Full Name | Guadalupe Maldonado |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 21890 W Colorado Ave, San Joaquin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184889826
- Provider Enumeration Date: 07/22/2008
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032569249
- Enrollment ID: I20240102000180
Medical Identifiers
Medical identifiers for Guadalupe Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184889826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 80737 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 80737 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guadalupe Maldonado is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Guadalupe Maldonado, LCSW 21890 W Colorado Ave, San Joaquin, CA 93660-9773 Ph: (559) 203-6698 | Guadalupe Maldonado, LCSW 21890 W Colorado Ave, San Joaquin, CA 93660-9773 Ph: (559) 693-2462 |
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