Provider Demographics
NPI:1497205900
Name:WRIGHT, SHALONDA (LLBSW)
Entity Type:Individual
Prefix:
First Name:SHALONDA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LLBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27085 GRATIOT AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2984
Mailing Address - Country:US
Mailing Address - Phone:586-285-5361
Mailing Address - Fax:
Practice Address - Street 1:27085 GRATIOT AVE STE 107
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2984
Practice Address - Country:US
Practice Address - Phone:586-285-5361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical