Individual provider Active NPI

Matthew Wright, LCSW-A

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1902208176
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009163 Issued in NC
Practice address
3824 Barrett Dr
Ste. 200
Raleigh, NC 27609-7220
Phone
(919) 850-3480
NPI assigned
Sep 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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 P009163 NC Primary

Addresses

Primary practice location

3824 Barrett Dr
Ste. 200
Raleigh, NC 27609-7220

Mailing address

3824 Barrett Dr
Ste. 200
Raleigh, NC 27609-7220
Phone (919) 850-3480

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190403001901 NC Practitioner - Clinical Social Worker 8921349895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009163NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Feb 3, 2019 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Feb 3, 2019 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

200 N Greensboro St
Ste C6
Carrboro, NC 27510
Phone (919) 962-4919

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

77 Vilcom Cir
Ste 300
Chapel Hill, NC 27514
Phone (984) 974-5217

Organizations & group practices 3

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1902208176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "address_2": "STE. 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-850-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "address_2": "STE. 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-850-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.