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Contact Information

SUSAN WRIGHT, LCS2139
311 PRINCE ROYAL DR
CREATIVE LIFE CHANGE INSTITUTE
CORTE MADERA, CA94925
 Phone: 415-927-2748
 Fax: 415-927-7948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SUSAN WRIGHT · (Female)

NPI Number 1053415604
Status Active
Credentials LCS2139
Entity Individual
Enumeration date 09/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 2139
  • CA Medicaid 341654554
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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