Healthcare Provider Details

I. General information

NPI: 1033572052
Provider Name (Legal Business Name): DUNRICK PATRICK SOGIE-THOMAS CPRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2016
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

Practice location:
  • Phone: 240-450-2092
  • Fax: 240-490-2491
Mailing address:
  • Phone: 240-450-2092
  • Fax: 240-490-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number10018850
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: