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NPI Code Detail

MEDICARE: MS. MICHELLE CASTRO-WRIGHT LCSW

MEDICARE: MS. MICHELLE CASTRO-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 Worker079084-1NY
21041C0700XClinical Social Worker098703-01NY

General Provider Information

NPI Number : 1598941460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE CASTRO-WRIGHT LCSW
Provider Business Mailing Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number : 718-485-2101
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number : 718-485-2101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 11/04/2024

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