Individual provider Active NPI

Christopher Driscoll, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1316226517
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5330 Issued in TN
Practice address
301 S Gallaher View Rd
Suite 102
Knoxville, TN 37919-5355
Phone
(865) 690-0962
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5330 TN Primary

Addresses

Primary practice location

301 S Gallaher View Rd
Suite 102
Knoxville, TN 37919-5355

Mailing address

301 S Gallaher View Rd
Suite 102
Knoxville, TN 37919-5355
Phone (865) 690-0962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000487 TN Practitioner - Clinical Social Worker 0941474662 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 S Gallaher View Rd
Suite 227
Knoxville, TN 37919-5361
Phone (865) 690-0962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Richli Group, LLC PastSince Jul 28, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1316226517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195355",
            "telephone_number": "865-690-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195355",
            "telephone_number": "865-690-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.