Individual provider Active NPI

Michael T Wright, LCSW, PHD

  • Clinical Social Worker
  • Belfast, ME
National Provider Identifier
1659862142
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC19139 Issued in ME
Practice address
9 Field St Ste 108
Belfast, ME 04915-6661
Phone
(207) 387-0691
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1021545 MA
Clinical Social Worker 1041C0700X CW019613 PA
Clinical Social Worker 1041C0700X LC19139 ME Primary

Addresses

Primary practice location

9 Field St Ste 108
Belfast, ME 04915-6661

Mailing address

69 Northport Ave
Belfast, ME 04915-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@drmichaelwright.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20230206000553 ME Practitioner - Clinical Social Worker 4082950746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Town of IslesboroGroup PAC ID 7911155940, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

150 Main Rd
Islesboro, ME 04848-4508
Phone (207) 734-2213

9 Field St
Suite 108
Belfast, ME 04915-6661
Phone (207) 387-0691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1021545MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Islesboro Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1659862142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FIELD ST STE 108",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156661",
            "telephone_number": "207-387-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021545",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@drmichaelwright.net",
            "affiliation": "N",
            "endpointDescription": "practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Field St Ste 108",
            "city": "Belfast",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049156661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.