Jataya Wright, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086864 Issued in NY

Practice address

100 Nicolls Road
Stony Brook, NY 11794

Phone

(631) 504-0109

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1124663000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119670125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS ROAD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-504-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Windus Dr",
            "address_purpose": "LOCATION",
            "city": "Shirley",
            "state": "NY",
            "postal_code": "119672707",
            "country_code": "US",
            "telephone_number": "718-219-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JATAYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Keith Woods, MD/PHD
• Luboslav Woroch, D.O.
• Robert P Woroniecki, M.D.
• Klaudia Wozowczyk, PA
• Brian Joseph Wright, M.D.
• Marie-Christine Wright, MD
• Lauren Alexis Wrobel, NP
• Ching-Hui Wu, M.D.
• Ching-Yi Wu, FNP-BC
• Da Wu

• Clinical Social Worker in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.