Healthcare Provider Details

I. General information

NPI: 1437610235
Provider Name (Legal Business Name): JESSICA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 SAWYER WAY
COLORADO SPRINGS CO
80915-2020
US

IV. Provider business mailing address

1734 SAWYER WAY
COLORADO SPRINGS CO
80915-2020
US

V. Phone/Fax

Practice location:
  • Phone: 970-541-4409
  • Fax:
Mailing address:
  • Phone: 970-817-1106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09925816
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: