Provider Demographics
NPI:1568576692
Name:WRIGHT, CYNTHIA JANE (MSW/ACSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:JANE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW/ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-5031
Mailing Address - Country:US
Mailing Address - Phone:510-587-3403
Mailing Address - Fax:510-587-3420
Practice Address - Street 1:2505 W 14TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-5031
Practice Address - Country:US
Practice Address - Phone:510-587-3403
Practice Address - Fax:510-587-3420
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 156491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical