Healthcare Provider Details
I. General information
NPI: 1427744028
Provider Name (Legal Business Name): EDUCARE SUPPORT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2023
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US
IV. Provider business mailing address
7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US
V. Phone/Fax
- Phone: 240-450-2092
- Fax: 240-450-2092
- Phone: 240-450-2092
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DUNRICK
PATRICK
SOGIE-THOMAS
Title or Position: CHIEF EXECUTIVE DIRECTOR
Credential: CPRP, CAMS-I, MA
Phone: 301-850-8999