Individual
ELLEN M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,BA,LCSW,LMSW,RN
Contact information
Practice address
141 E MAIN ST, WATERBURY CLINICAL SERVICES 2ND FLOOR, WATERBURY, CT 06702-2310
(203) 723-9599
(293) 723-9890
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1649
CT
1041C0700X
Clinical Social Worker
Primary
9474
CT
163W00000X
Registered Nurse
E43376
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062580
—
CT
01
—
060669107
HEALTHYCT WELLMORE GRP/FACILITY
CT
01
—
13671856
CAQH
CT
01
—
D339209 141 MAIN ST
BEACON HEALTH
CT
01
—
ELIGIBLE NOT APPLIED
MHN TRICARENORTH
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
03/15/2013
Last updated
09/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us