Healthcare Provider Details

I. General information

NPI: 1710423306
Provider Name (Legal Business Name): RONALD LONGO LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RON LONGO LCSW

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21170 ASHBY PONDS BLVD
ASHBURN VA
20147
US

IV. Provider business mailing address

5730 EXECUTIVE DR STE 230
CATONSVILLE MD
21228-1762
US

V. Phone/Fax

Practice location:
  • Phone: 571-291-6131
  • Fax: 571-291-6135
Mailing address:
  • Phone: 571-291-6131
  • Fax: 571-291-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008716
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: