Provider Demographics
NPI:1144708223
Name:WRIGHT, LENA ANN (MSW)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:ANN
Other - Last Name:BRADBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:162 CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2924
Mailing Address - Country:US
Mailing Address - Phone:508-860-1021
Mailing Address - Fax:508-860-1046
Practice Address - Street 1:162 CHANDLER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609
Practice Address - Country:US
Practice Address - Phone:508-860-1021
Practice Address - Fax:508-860-1046
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor