Provider Demographics
NPI:1306071550
Name:WRIGHT, WILLIAM THOMAS (MSSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MSSW, LCSW
Other - Prefix:MR
Other - First Name:TOMMY
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSSW, LCSW
Mailing Address - Street 1:574 GROVE PARK LOOP
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-3791
Mailing Address - Country:US
Mailing Address - Phone:334-514-8956
Mailing Address - Fax:334-514-8956
Practice Address - Street 1:209 W SPRING ST
Practice Address - Street 2:SUITE 304
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2973
Practice Address - Country:US
Practice Address - Phone:256-401-4695
Practice Address - Fax:256-401-4698
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2195C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical