SHIRLEY WRIGHT LCSW-R
NPI 1639422058
Counselor - Mental Health in Perry, NY

Active since October 23, 2012PECOS EnrolledAccepts Medicare Assignment
2374 SIMMONS RD, PERRY, NY 14530(585) 481-3565 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirley Wright Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY WRIGHT LCSW-R (NPI 1639422058) is an individual mental health provider in Perry, New York, licensed in New York (084617) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2011).

NPPES Registry Identity

NPI1639422058
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHIRLEY WRIGHTCredential: LCSW-R
Location Address2374 SIMMONS RDPerry, NY 14530-9707
Mailing Address2374 Simmons RdPerry, NY 14530-9707 · (585) 481-3565
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2011
Enumeration DateOctober 23, 2012
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1639422058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 084617
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 085435-1 (NY)
2374 SIMMONS RD, Perry, NY 14530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Wright Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931497161
PECOS Enrollment IDI20161004001056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shirley Wright reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3384 CHURCH ST
Alexander, NY 14005
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
115 LIBERTY ST
Bath, NY 14810
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Wright's NPI number?

The NPI number for Shirley Wright is 1639422058. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Shirley Wright located?

Shirley Wright practices at 2374 Simmons Rd, Perry, NY 14530. The listed phone number is (585) 481-3565.

What is Shirley Wright's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shirley Wright enrolled in Medicare?

Yes. Shirley Wright is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shirley Wright's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Wright reassigns Medicare benefits to 2 organizations: Oak Orchard Community Health Center, Inc. (Alexander, NY) and County Of Steuben (Bath, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Wright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Wright was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.