Provider Demographics
NPI:1063814051
Name:WRIGHT, BENEDICTA G (LICSW)
Entity type:Individual
Prefix:
First Name:BENEDICTA
Middle Name:G
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FOSTER ST STE 301
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1760
Mailing Address - Country:US
Mailing Address - Phone:774-420-1129
Mailing Address - Fax:508-519-7896
Practice Address - Street 1:11 FOSTER ST STE 301
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1760
Practice Address - Country:US
Practice Address - Phone:774-420-1129
Practice Address - Fax:508-519-7896
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program