Provider Demographics
NPI:1073544680
Name:WRIGHT, JANET B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:B
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W HORSETOOTH RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5978
Mailing Address - Country:US
Mailing Address - Phone:970-224-2207
Mailing Address - Fax:970-484-9454
Practice Address - Street 1:1015 W HORSETOOTH RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5978
Practice Address - Country:US
Practice Address - Phone:970-224-2207
Practice Address - Fax:970-484-9454
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9919601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806334Medicare PIN