Provider Demographics
NPI:1477874261
Name:WIGHT, APRIL BRIANNA (MSW, APSW)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:BRIANNA
Last Name:WIGHT
Suffix:
Gender:F
Credentials:MSW, APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 WASHINGTON AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4057
Mailing Address - Country:US
Mailing Address - Phone:262-884-9734
Mailing Address - Fax:
Practice Address - Street 1:5801 WASHINGTON AVE
Practice Address - Street 2:STE 101
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-4057
Practice Address - Country:US
Practice Address - Phone:262-884-9734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI127631-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical