Healthcare Provider Details

I. General information

NPI: 1467102285
Provider Name (Legal Business Name): MATTHEW B WRIGHT LADC II, CARC, CPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 CARTER ST STE 40
LEOMINSTER MA
01453-7303
US

IV. Provider business mailing address

106 CARTER ST STE 40
LEOMINSTER MA
01453-7303
US

V. Phone/Fax

Practice location:
  • Phone: 978-227-5036
  • Fax:
Mailing address:
  • Phone: 978-227-5036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23347
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberS17673016
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateMA
# 8
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number202052
License Number StateMA
# 9
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number0422RC
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: