Healthcare Provider Details

I. General information

NPI: 1558271205
Provider Name (Legal Business Name): MK WRIGHT LISW-S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 PINE CREEK DR
WESTERVILLE OH
43081-4849
US

IV. Provider business mailing address

5011 PINE CREEK DR
WESTERVILLE OH
43081-4849
US

V. Phone/Fax

Practice location:
  • Phone: 614-558-2440
  • Fax: 330-365-5503
Mailing address:
  • Phone: 614-558-2440
  • Fax: 330-365-5503

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: MARY K WRIGHT
Title or Position: OWNER
Credential: LISW-S
Phone: 614-558-2440