Individual provider Active NPI

Debra Susan Wright, LMSW, CAADC, CCS

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1588102248
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097558 Issued in MI
Practice address
3425 Francis St
Jackson, MI 49203-5052
Phone
(517) 782-2551
NPI assigned
Feb 2, 2017
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 6801097558 MI Primary

Addresses

Primary practice location

3425 Francis St
Jackson, MI 49203-5052

Mailing address

3425 Francis St
Jackson, MI 49203-5052
Phone (517) 782-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180827002562 MI Practitioner - Clinical Social Worker 3971852773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

199 N Broad St
Adrian, MI 49221-2762
Phone (517) 263-2191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Jackson, Lenawee and Hillsdale Counties CurrentSince May 30, 2019 Accepting new patients

Locations

199 N Broad St
Adrian, MI 49221
Phone (517) 263-2191

3425 Francis St
Jackson, MI 49203
Phone (517) 263-2191

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1588102248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 FRANCIS ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035052",
            "telephone_number": "517-782-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 FRANCIS ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035052",
            "telephone_number": "517-782-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DEBRA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.