Provider Demographics
NPI:1942456645
Name:WRIGHT, MARLENE CELESTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:CELESTE
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 1:33 DARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1343
Mailing Address - Country:US
Mailing Address - Phone:910-790-5921
Mailing Address - Fax:910-794-1036
Practice Address - Street 1:33 DARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1343
Practice Address - Country:US
Practice Address - Phone:910-790-5921
Practice Address - Fax:910-794-1036
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0060841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical