Jataya Wright, LCSW
Social Worker, Clinical in Stony Brook, NY. Individual provider (NPI-1).
NPI number1124663000
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1124663000
- Entity type
- Individual (NPI-1)
- Name
- Jataya Wright
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2019
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 086864 | NY | Yes |
Practice location
100 Nicolls RoadStony Brook, NY 11794
Phone 631-504-0109
Mailing address
Po Box 125Shirley, NY 11967-0125
Other practice locations
31 Windus Dr
Shirley, NY 11967-2707
Shirley, NY 11967-2707
Phone 718-219-5565
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