Provider Demographics
NPI:1477813442
Name:WRIGHT, LATOYA DENISE (LMSW)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:DENISE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 TERRELL MILL RD SE APT 377
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6142
Mailing Address - Country:US
Mailing Address - Phone:646-398-3991
Mailing Address - Fax:
Practice Address - Street 1:1486 TERRELL MILL RD SE APT 377
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-6142
Practice Address - Country:US
Practice Address - Phone:646-398-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082907104100000X
GAMSW012190171M00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator