Provider Demographics
NPI:1760030902
Name:WRIGHT, ALISHA MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:MICHELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23927-3140
Mailing Address - Country:US
Mailing Address - Phone:434-202-5670
Mailing Address - Fax:434-202-5670
Practice Address - Street 1:143 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23927-3140
Practice Address - Country:US
Practice Address - Phone:434-202-5670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA03040112311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical