Provider Demographics
NPI:1821407677
Name:WRIGHT, NATASHA KRISTINA (LCSW 100371)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:KRISTINA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCSW 100371
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20094 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1237
Mailing Address - Country:US
Mailing Address - Phone:510-564-8441
Mailing Address - Fax:510-727-9761
Practice Address - Street 1:20094 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-1237
Practice Address - Country:US
Practice Address - Phone:510-564-8441
Practice Address - Fax:510-727-9761
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1003711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical