Healthcare Provider Details

I. General information

NPI: 1104614163
Provider Name (Legal Business Name): ANTHONY HERBERT WRIGHT MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 10TH ST
ALAMOGORDO NM
88310-5053
US

IV. Provider business mailing address

1904 JUNIPER DR APT 210
ALAMOGORDO NM
88310-3860
US

V. Phone/Fax

Practice location:
  • Phone: 575-488-2500
  • Fax:
Mailing address:
  • Phone: 575-937-5653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: