Provider Demographics
NPI:1467102285
Name:WRIGHT, MATTHEW (LADC II, CARC, CPS)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LADC II, CARC, CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CARTER ST STE 40
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-7303
Mailing Address - Country:US
Mailing Address - Phone:978-227-5036
Mailing Address - Fax:
Practice Address - Street 1:106 CARTER ST STE 40
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-7303
Practice Address - Country:US
Practice Address - Phone:978-227-5036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0422RC171400000X
MA171M00000X, 172V00000X, 174H00000X
MAS17673016172A00000X
MA202052175T00000X
MA23347101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist
No174H00000XOther Service ProvidersHealth Educator