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NPI Code Detail

MEDICARE: MS. ALYCIA E WRIGHT LCSW

MEDICARE:  MS. ALYCIA E WRIGHT  LCSW
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 WorkerC-09824NM
2104100000XSocial WorkerM-07229NM

General Provider Information

NPI Number : 1346629185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYCIA E WRIGHT LCSW
Provider Business Mailing Address
First Line : 3103 ENCANTO DR
Second Line :
City : ROSWELL
State : NM
Zip : 88201-6635
Country : US
Telephone Number : 575-317-4048
Fax Number : 575-624-2033
Provider Business Practice Location Address
First Line : 1000 E 18TH ST
Second Line :
City : ROSWELL
State : NM
Zip : 88201-7532
Country : US
Telephone Number : 575-624-1780
Fax Number : 575-624-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 10/03/2025

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Directions to “ MS. ALYCIA E WRIGHT LCSW” Practice Location

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