Active NPI
Jenna Driscoll, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1225879869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC21908
- Practice address
- 175 Fore River Pkwy
Portland, ME 04102-2779 - Phone
- (207) 879-3526
- Fax
- (207) 879-3270
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC21908 | ME | Primary |
Addresses
Primary practice location
175 Fore River Pkwy
Portland, ME 04102-2779
Mailing address
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC21908 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driscoll Therapy, LLC | Clinical | Current | Accepting new patients |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients |
Locations
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
195 Fore River Pkwy
Ste 160
Portland, ME 04102
Phone (207) 553-6700
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Biddeford, ME
- NPI 1720954316
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1225879869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FORE RIVER PKWY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022779",
"telephone_number": "207-879-3526",
"fax_number": "207-879-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FORE RIVER PKWY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022779",
"telephone_number": "207-879-3526",
"fax_number": "207-879-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "JENNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC21908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.