Provider Demographics
NPI:1124328059
Name:WRIGHT, JANA LEIGH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:LEIGH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 E WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5058
Mailing Address - Country:US
Mailing Address - Phone:910-599-8763
Mailing Address - Fax:
Practice Address - Street 1:130 COMMERCE PKWY STE 111
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7966
Practice Address - Country:US
Practice Address - Phone:919-706-5004
Practice Address - Fax:919-706-5651
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC007638101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6009026Medicaid
NC6009026Medicaid