Healthcare Provider Details

I. General information

NPI: 1093634750
Provider Name (Legal Business Name): CHANTELL WRIGHT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SISTER PIERRE DR STE 205
TOWSON MD
21204-7525
US

IV. Provider business mailing address

120 SISTER PIERRE DR STE 205
TOWSON MD
21204-7525
US

V. Phone/Fax

Practice location:
  • Phone: 443-288-0098
  • Fax: 443-288-0030
Mailing address:
  • Phone: 443-288-0098
  • Fax: 443-288-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number32561
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: