Maldonado Rivera, Karen L

Maldonado Rivera, Karen L is an sole proprietor health care provider with primary practice located at 2173 N Ridge Rd E Ste E , Lorain OH 44055-3400. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Maldonado Rivera, Karen L can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
2173 N Ridge Rd E Ste E Lorain OH 44055-3400
Phone: (440) 260-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA173758 Ohio

Profile Details

NPI number 1508395542
LBN Legal business name Maldonado Rivera, Karen L
Credentials CDCA, QMHS, CMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2017
Last updated Jun 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508395542 NPPES
Ohio Other 163827 LICENSE

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