Provider Demographics
NPI:1659301778
Name:SATTERFIELD, SONDRA L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:L
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 JEBB RD
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:DE
Mailing Address - Zip Code:19934-3631
Mailing Address - Country:US
Mailing Address - Phone:302-697-3926
Mailing Address - Fax:
Practice Address - Street 1:884 WALKER RD
Practice Address - Street 2:SUITE 5-C
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2758
Practice Address - Country:US
Practice Address - Phone:302-632-7300
Practice Address - Fax:302-734-7780
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00006651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000022280Medicaid