Active NPI
Ednita Marie Wright, PH.D., LCSW, CASAC
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1164044087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071908-01
- Practice address
- 135 Alanson Rd
Syracuse, NY 13207-1503 - Phone
- (315) 289-5580
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071908-01 | NY | Primary |
Addresses
Primary practice location
135 Alanson Rd
Syracuse, NY 13207-1503
Mailing address
135 Alanson Rd
Syracuse, NY 13207-1503
Phone (315) 289-5580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071908-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1164044087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 ALANSON RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132071503",
"telephone_number": "315-289-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 ALANSON RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132071503",
"telephone_number": "315-289-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "EDNITA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071908-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.