Provider Demographics
NPI:1487783049
Name:WRIGHT, ORLANDO (PHD, LCSW-C)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHD, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 WOODSIDE CT STE 110G
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3217
Mailing Address - Country:US
Mailing Address - Phone:443-718-9085
Mailing Address - Fax:
Practice Address - Street 1:7135 MINSTREL WAY STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5294
Practice Address - Country:US
Practice Address - Phone:410-855-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23307101YM0800X, 103K00000X, 1041C0700X
CT006598101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD212028300Medicaid