Provider Demographics
NPI:1740606177
Name:WRIGHT, ROBERT K JR (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:K
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 CALHOUN PL STE 600
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-3701
Mailing Address - Country:US
Mailing Address - Phone:240-777-1411
Mailing Address - Fax:
Practice Address - Street 1:7300 CALHOUN PL STE 600
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-3701
Practice Address - Country:US
Practice Address - Phone:240-777-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD079181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical