Healthcare Provider Details

I. General information

NPI: 1154004786
Provider Name (Legal Business Name): SONTE B. DUCOTE LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 5TH ST NE APT 1
WASHINGTON DC
20002-3491
US

IV. Provider business mailing address

5407 N CHARLES ST
BALTIMORE MD
21210-2024
US

V. Phone/Fax

Practice location:
  • Phone: 202-679-2991
  • Fax:
Mailing address:
  • Phone: 410-433-8861
  • Fax: 410-433-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200002375
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: