Individual provider Active NPI

Priscilla Wright, MSW, LCSW

  • Clinical Social Worker
  • Maynard, MA
National Provider Identifier
1053825992
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122501 Issued in MA
Practice address
14 Digital Way Unit 14315
Maynard, MA 01754-2294
Phone
(857) 246-9711
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122501 MA Primary

Addresses

Primary practice location

14 Digital Way Unit 14315
Maynard, MA 01754-2294

Mailing address

14 Digital Way Unit 14315
Maynard, MA 01754-2294
Phone (857) 246-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505003160 MA Practitioner - Clinical Social Worker 4880003706 Reassigns benefits to 1 organization
Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sudbury, MA 01776
Phone (857) 246-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122501MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Counseling Practice LLC Clinical CurrentSince Jun 30, 2021 Accepting new patients
Center for Achieving Balance for Children and Families Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1053825992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DIGITAL WAY UNIT 14315",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542294",
            "telephone_number": "857-246-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DIGITAL WAY UNIT 14315",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542294",
            "telephone_number": "857-246-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PRISCILLA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynard, MA

Sources for this page

Verify at the official NPI Registry.