Provider Demographics
NPI:1003542705
Name:WRIGHT, LATRISHA TIRECA (LGSW, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LATRISHA
Middle Name:TIRECA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LGSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BARNABY TER SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4301
Mailing Address - Country:US
Mailing Address - Phone:202-538-6857
Mailing Address - Fax:
Practice Address - Street 1:1100 BARNABY TER SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4301
Practice Address - Country:US
Practice Address - Phone:202-538-6857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50081595104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker