Provider Demographics
NPI:1043569890
Name:WRIGHT, KARI (LMSW, SAP, CISM)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMSW, SAP, CISM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28971 GREENING STREET
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:813-310-8065
Mailing Address - Fax:
Practice Address - Street 1:28971 GREENING STREET
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:813-310-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 1450966101YA0400X
FLSW9250101YA0400X, 1041C0700X
OHI14509661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGW689AMedicare UPIN