Individual
MS. BEVERLY JEANNE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC, CEAP
Contact information
Practice address
2014 OLD EVERGREEN PKWY, INDIAN TRAIL, NC 28079-8873
(631) 423-6809
(631) 423-8446
Mailing address
2014 OLD EVERGREEN PKWY, INDIAN TRAIL, NC 28079-8873
(631) 423-6809
(631) 423-8446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
029334.1
NY
1041C0700X
Clinical Social Worker
R029334-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055762/002
GHI
NY
01
—
092031
VALUE OPTIONS
NY
01
—
107927
MHN
NY
Enumeration date
08/26/2006
Last updated
05/05/2022
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