Provider Demographics
NPI:1114783404
Name:MALDONADO, LILIANA MARGARITA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LILIANA
Middle Name:MARGARITA
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 SW 137TH AVE STE 218
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1438
Mailing Address - Country:US
Mailing Address - Phone:305-984-5315
Mailing Address - Fax:
Practice Address - Street 1:9010 SW 137TH AVE STE 218
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1438
Practice Address - Country:US
Practice Address - Phone:305-984-5315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW81831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical