Provider Demographics
NPI:1962292292
Name:MALDONADO, ROSANGELA (MA LSW)
Entity type:Individual
Prefix:
First Name:ROSANGELA
Middle Name:
Last Name:MALDONADO
Suffix:
Gender:
Credentials:MA LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MANCHESTER RD STE 1420
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4534
Mailing Address - Country:US
Mailing Address - Phone:630-940-6828
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 1420
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4534
Practice Address - Country:US
Practice Address - Phone:630-940-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker