Active NPI
Jennifer Wright, LMSW
- Clinical Social Worker
- Waterford, MI
National Provider Identifier
1225428246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801092214
- Practice address
- 7100 Round Hill Dr Apt A4
Waterford, MI 48327-4018 - Phone
- (313) 418-0563
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 6801092214 | MI | Primary |
Addresses
Primary practice location
7100 Round Hill Dr Apt A4
Waterford, MI 48327-4018
Mailing address
7100 Round Hill Dr Apt A4
Waterford, MI 48327-4018
Phone (313) 418-0563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801902214 | Other | MI | LMSW |
Other names 1
- Jennifer Wright
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092214 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1225428246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 ROUND HILL DR APT A4",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483274018",
"telephone_number": "313-418-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 ROUND HILL DR APT A4",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483274018",
"telephone_number": "313-418-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JENNIFER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801092214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "6801902214",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WRIGHT",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.