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NPI Code Detail

MEDICARE: KIERNAN J WRIGHT LCSW

MEDICARE: KIERNAN J 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 Worker149.026056IL
2104100000XSocial Worker150.105372IL

General Provider Information

NPI Number : 1932876042
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERNAN J WRIGHT LCSW
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 : 773-557-7011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 06/13/2026

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Directions to “ KIERNAN J WRIGHT LCSW” Practice Location

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