Doctor Name: | NICOLE S WRIGHT |
NPI Number: | 1013214923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW, LCSW-C |
License Number: | LC50077988 |
Business Practice Address: | 12210 Maycheck Ln Bowie, MD - 207151555 |
Business Phone Number: | 2022363160 |
Business Fax Number: | |
Mailing Address: | 12210 Maycheck Ln, BOWIE |
State: | MD |
Postal Code: | 207151555 |
Phone Number: | 2022363160 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2011 |
NPI Last Update Date: | 01/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC50077988 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |