Provider Demographics
NPI:1033572052
Name:SOGIE-THOMAS, DUNRICK PATRICK (CPRP)
Entity Type:Individual
Prefix:MR
First Name:DUNRICK
Middle Name:PATRICK
Last Name:SOGIE-THOMAS
Suffix:
Gender:M
Credentials:CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 LARCH AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6520
Mailing Address - Country:US
Mailing Address - Phone:301-920-0121
Mailing Address - Fax:240-490-2491
Practice Address - Street 1:1007 LARCH AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6520
Practice Address - Country:US
Practice Address - Phone:301-920-0121
Practice Address - Fax:240-490-2491
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X, 171W00000X, 225C00000X
MD10018850225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor