Individual provider · Type 1 NPI

Jataya Wright, LCSW

Clinical Social Worker · Stony Brook, NY

NPI number 1124663000 Active

Practice location

100 Nicolls Road
Stony Brook, NY 11794

Call (631) 504-0109 Map

Mailing address

PO Box 125
Shirley, NY 11967-0125

Other practice locations

  • 31 Windus Dr, Shirley, NY 11967-2707 · (718) 219-5565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X086864 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124663000

Jataya Wright, LCSW's National Provider Identifier is 1124663000, issued on Nov 14, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 17, 2020.