Provider Demographics
NPI:1063081107
Name:WRIGHT, DANIEL M (LCSW)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6413 BIG RUN PRESCOTTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-4915
Mailing Address - Country:US
Mailing Address - Phone:814-594-7506
Mailing Address - Fax:
Practice Address - Street 1:762 REYNOLDSVILLE SYKESVILLE RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15851-5044
Practice Address - Country:US
Practice Address - Phone:814-894-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138170104100000X
PACW0251911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker