Healthcare Provider Details

I. General information

NPI: 1639713779
Provider Name (Legal Business Name): RONALD ANTHONY SEXTON LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 EDGAR ST
YORK PA
17403-2862
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-1500
  • Fax: 717-851-1515
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021528
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: