Provider Demographics
NPI:1972023059
Name:WRIGHT, KEVIN LYNN (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LYNN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LMSW
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Mailing Address - Street 1:255 DELAWARE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-2017
Mailing Address - Country:US
Mailing Address - Phone:716-842-0440
Mailing Address - Fax:716-842-4069
Practice Address - Street 1:1412 SWEET HOME RD STE 3-5
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2795
Practice Address - Country:US
Practice Address - Phone:716-589-1411
Practice Address - Fax:716-276-3051
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY057464104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker