Provider Demographics
NPI:1740765445
Name:WRIGHT, ROBIN R (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:R
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HARDIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-2215
Mailing Address - Country:US
Mailing Address - Phone:978-447-1496
Mailing Address - Fax:978-527-0580
Practice Address - Street 1:25 HARDIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2215
Practice Address - Country:US
Practice Address - Phone:978-447-1496
Practice Address - Fax:978-527-0580
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1006811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical