Provider Demographics
NPI:1003929142
Name:WRIGHT, SANDAL L (MSW)
Entity Type:Individual
Prefix:MS
First Name:SANDAL
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7415 CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218
Mailing Address - Country:US
Mailing Address - Phone:412-365-5411
Mailing Address - Fax:
Practice Address - Street 1:7180 HIGHLAND DRIVE
Practice Address - Street 2:122 D-H
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-365-5411
Practice Address - Fax:412-365-5187
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011726L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW011726LOtherLICENSED SOCIAL WORKER