Provider Demographics
NPI:1225483720
Name:WRIGHT, JANICE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
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 1:964 E 101ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2618
Mailing Address - Country:US
Mailing Address - Phone:518-322-1942
Mailing Address - Fax:347-425-7638
Practice Address - Street 1:195 PLYMOUTH ST # 412
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1123
Practice Address - Country:US
Practice Address - Phone:347-599-9252
Practice Address - Fax:347-425-7638
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080790-11041C0700X
NY08079011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical