Nicole Wright, is a
Social Worker - Clinical based in Gardena, California. Nicole Wright is licensed to practice in California (license number 121100) and her current practice location is
879 W 190th St Ste 300, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 850-0115.
NPI number for Nicole Wright is 1811123698 and her current mailing address is 879 W 190th St Ste 300, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811123698.
Healthcare Provider's Profile
| Full Name | Nicole Wright |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 879 W 190th St Ste 300, Gardena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811123698
- Provider Enumeration Date: 06/07/2009
- Last Update Date: 07/10/2024
Medical Identifiers
Medical identifiers for Nicole Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811123698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 112706 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW75318 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 112706 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121100 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Wright is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Wright,
879 W 190th St Ste 300,
Gardena, CA 90248-4223
Ph: (310) 850-0115 | Nicole Wright,
879 W 190th St Ste 300,
Gardena, CA 90248-4223
Ph: (310) 850-0115 |
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