Healthcare Provider Details

I. General information

NPI: 1144775461
Provider Name (Legal Business Name): LEAH WRIGHT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 CAMINO DEL RIO S
SAN DIEGO CA
92108-3806
US

IV. Provider business mailing address

3255 CAMINO DEL RIO S
SAN DIEGO CA
92108-3806
US

V. Phone/Fax

Practice location:
  • Phone: 619-518-4352
  • Fax:
Mailing address:
  • Phone: 619-518-4352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number80806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: