Active NPI
Maurice Wright
- School Social Worker
- Greenwood, MS
National Provider Identifier
1861916199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- PCCSS2397
- Practice address
- 522 West Park Avenue, Suite Q-R
Greenwood, MS 38930 - Phone
- (662) 374-5029
- NPI assigned
- Jul 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | PCCSS2397 | MS | Primary |
Addresses
Primary practice location
522 West Park Avenue, Suite Q-R
Greenwood, MS 38930
Mailing address
522 W Park Ave Ste Q-R
Greenwood, MS 38930-2906
Phone (662) 374-5029
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCCSS2397 | MS | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861916199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W PARK AVE STE Q-R",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302906",
"telephone_number": "662-374-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 WEST PARK AVENUE, SUITE Q-R",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "38930",
"telephone_number": "662-374-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MAURICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MS",
"license": "PCCSS2397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.