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NPI Code Detail

MEDICARE: KIERNAN WRIGHT, PLLC

MEDICARE: KIERNAN WRIGHT, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1053102533
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIERNAN WRIGHT, PLLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 330-778-2139
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 224-335-7558
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : KIERNAN WRIGHT
Credential : LCSW
Telephone Number : 330-778-2139
Provider Enumeration Date : 05/14/2025
Last Update Date : 06/09/2026

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