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NPI Code Detail

MEDICARE: KRISTEN ELIZABETH WRIGHT LICSW

MEDICARE: KRISTEN ELIZABETH WRIGHT LICSW
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 WorkerISW02632RI
21041C0700XClinical Social Worker125812MA

General Provider Information

NPI Number : 1053712463
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ELIZABETH WRIGHT LICSW
Provider Business Mailing Address
First Line : 40 SHATTUCK RD STE 250
Second Line :
City : ANDOVER
State : MA
Zip : 01810-2492
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 SHATTUCK RD STE 250
Second Line :
City : ANDOVER
State : MA
Zip : 01810-2492
Country : US
Telephone Number : 401-595-2982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2014
Last Update Date : 10/14/2025

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Directions to “ KRISTEN ELIZABETH WRIGHT LICSW” Practice Location

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