Provider Demographics
NPI:1548802655
Name:WRIGHT, JA'MESHICA (MSW,LCSW-A,LCAS-A)
Entity Type:Individual
Prefix:
First Name:JA'MESHICA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW,LCSW-A,LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 DICK ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5729
Mailing Address - Country:US
Mailing Address - Phone:910-603-6651
Mailing Address - Fax:910-868-8882
Practice Address - Street 1:315 DICK ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5729
Practice Address - Country:US
Practice Address - Phone:910-603-6651
Practice Address - Fax:910-868-8882
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0132841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical