Healthcare Provider Details

I. General information

NPI: 1609469030
Provider Name (Legal Business Name): RONALD E SATTERFIELD JR. LCADC, LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W PENNSYLVANIA AVE STE 309A
TOWSON MD
21204-5009
US

IV. Provider business mailing address

22 W PENNSYLVANIA AVE STE 309A
TOWSON MD
21204-5009
US

V. Phone/Fax

Practice location:
  • Phone: 443-898-2620
  • Fax:
Mailing address:
  • Phone: 443-898-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number29631
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCA3282
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: