1427672278 NPI number — DALE MADDEN SORCHER MSW

Table of content: DALE MADDEN SORCHER MSW (NPI 1427672278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427672278 NPI number — DALE MADDEN SORCHER MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SORCHER
Provider First Name:
DALE
Provider Middle Name:
MADDEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MADDEN
Provider Other First Name:
DALE
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427672278
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7309 MILLWOOD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20817-6148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-229-2328
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8120 WOODMONT AVE STE 660
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814-2772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-652-5550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LC302078 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 07177 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)