Lisa Dawn Maldonado in Paducah - Clinical
Lisa Dawn Maldonado - NPI 1700949047
Lisa Dawn Maldonado is a Clinical in Paducah, Kentucky. Lisa Dawn Maldonado practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Dawn Maldonado is 1700949047. The last update date is 2023-03-15.
Lisa Dawn Maldonado's current location address is 2620 Perkins Creek Dr., Paducah, Kentucky. You can contact this provider via phone number 2704448465 and fax number 6189978214. The mailing address for Lisa Dawn Maldonado is 2620 Perkins Creek Dr., Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Dawn Maldonado |
|---|---|
| Address | 2620 Perkins Creek Dr., Paducah, Kentucky |
| Phone Number | 2704448465 |
| Fax Number | 6189978214 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700949047 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 2620 Perkins Creek Dr. |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 42001 |
| Phone Number | 2704448465 |
| Fax Number | 6189978214 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.014874 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Lisa Dawn Maldonado by the Centers for Medicare & Medicaid Services?
The Lisa Dawn Maldonado has been assigned the NPI (National Provider Identifier) 1700949047 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa Dawn Maldonado?
The Lisa Dawn Maldonado is physically situated at 2620 Perkins Creek Dr., in the city of Paducah, state of KY, with the postal code 42001.
What is Lisa Dawn Maldonado's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Dawn Maldonado is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date was the 1700949047 assigned to Lisa Dawn Maldonado?
The Lisa Dawn Maldonado was issued its 1700949047 on 2006-12-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lisa Dawn Maldonado most recently updated?
The details pertaining to the Lisa Dawn Maldonado, including its address, specialty, and other relevant information, were last refreshed on 2023-03-15.