Provider Demographics
NPI:1437982139
Name:WRIGHTON, ALEXIS BRIANA (MSW,LCSWA)
Entity type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:BRIANA
Last Name:WRIGHTON
Suffix:
Gender:F
Credentials:MSW,LCSWA
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:BRIANA
Other - Last Name:WRIGHTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSWA
Mailing Address - Street 1:8412 CARTMAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-8418
Mailing Address - Country:US
Mailing Address - Phone:912-332-6366
Mailing Address - Fax:
Practice Address - Street 1:2151 SKIBO RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-0252
Practice Address - Country:US
Practice Address - Phone:910-689-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0211921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical