Healthcare Provider Details

I. General information

NPI: 1407482862
Provider Name (Legal Business Name): JAIME WRIGHT MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 PREMIER DR STE 110
HIGH POINT NC
27265-8409
US

IV. Provider business mailing address

1707 CHESAPEAKE DR
GREENSBORO NC
27410-3526
US

V. Phone/Fax

Practice location:
  • Phone: 336-790-6858
  • Fax: 336-750-9711
Mailing address:
  • Phone: 336-707-7247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC014397
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: