Individual provider Active NPI

Amanda Breslin Wright, LICSW

  • Clinical Social Worker
  • Nantucket, MA
National Provider Identifier
1912494857
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120691 Issued in MA
Practice address
130 Old South Rd
Nantucket, MA 02554-2920
Phone
(617) 515-0546
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 120691 MA Primary

Addresses

Primary practice location

130 Old South Rd
Nantucket, MA 02554-2920

Mailing address

PO Box 1132
Nantucket, MA 02554-1132
Phone (617) 515-0546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220728001605 MA Practitioner - Clinical Social Worker 2163804733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Old S Rd
Nantucket, MA 02554-2920
Phone (617) 515-0546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairwinds-Nantuckets Counseling Center CurrentSince Apr 13, 2022 Accepting new patients
Amanda B Wright Counseling and Consulting LLC CurrentSince Oct 27, 2024 Accepting new patients
Fairwinds-Nantucket'S Counseling Center, Inc PastSince Feb 1, 2021 Accepting new patients
K Werner Counseling LLC PastSince Mar 3, 2026 Accepting new patients

Locations

130 Old South Rd
Nantucket, MA 02554
Phone (508) 364-5921

20 Vesper Ln
Unit L1
Nantucket, MA 02554
Phone (508) 228-2689

Organizations & group practices 4

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1912494857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025541132",
            "telephone_number": "617-515-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 OLD SOUTH RD",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542920",
            "telephone_number": "617-515-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "AMANDA",
        "middle_name": "BRESLIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

Verify at the official NPI Registry.