Provider Demographics
NPI:1891149357
Name:LEEWRIGHT, MARIANNA (LMSW)
Entity type:Individual
Prefix:
First Name:MARIANNA
Middle Name:
Last Name:LEEWRIGHT
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 1:433 N PINECREST ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-4124
Mailing Address - Country:US
Mailing Address - Phone:316-312-0464
Mailing Address - Fax:
Practice Address - Street 1:433 N PINECREST ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4124
Practice Address - Country:US
Practice Address - Phone:316-312-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker