MEDICARE: DR. DUNRICK PATRICK SOGIE-THOMAS CPRP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	225C00000X	Rehabilitation Counselor
3	171W00000X	Contractor
4	225400000X	Rehabilitation Practitioner	10018850	MD
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033572052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUNRICK PATRICK SOGIE-THOMAS CPRP

Provider Business Mailing Address
First Line	:	7517 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6969
Country	:	US
Telephone Number	:	240-450-2092
Fax Number	:	240-490-2491

Provider Business Practice Location Address
First Line	:	7517 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6969
Country	:	US
Telephone Number	:	240-450-2092
Fax Number	:	240-490-2491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	10/21/2025

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