Patrice Wright, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18032 Issued in SC

Practice address

100 Stone Village Dr Ste 104-B
Fort Mill, SC 29708-6588

Phone

(803) 373-1159

Fax

(803) 403-8916

NPI assigned

Jun 18, 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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Cotswold Clinician Support Services

  dba Matone Counseling and Testing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1245890557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE VILLAGE DR STE 104-B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086588",
            "telephone_number": "803-373-1159",
            "fax_number": "803-403-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONE VILLAGE DR STE 104-B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086588",
            "telephone_number": "803-373-1159",
            "fax_number": "803-403-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PATRICE",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridith Maxwell Womick, M.D.
• David E Woolston, DDS
• Alexandra Rene Worobel, OTR/L
• Karen Whitesides Wright, MS, CCC-SLP
• Mark Edwin Wright
• Sandra K Wright, FNP
• Shelby Barnwell Wright, AU.D., CCC-A
• Yenan Xu, DDS
• George Marshall Yearta, MD
• Elizabeth H Yegge

• Clinical Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.