NPIMap

Organization Active NPI

Driscoll Care Group LLC

  • Clinical Social Worker
  • Charlestown, MA
National Provider Identifier
1326650748
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DRISCOLL CARE GROUP LLC
Practice address
68 Tremont St
Charlestown, MA 02129-3127
Phone
(978) 317-2992
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Carey DriscollNPI 1750715603
Title
Owner
Phone
(978) 317-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

68 Tremont St
Charlestown, MA 02129-3127

Mailing address

68 Tremont St
Charlestown, MA 02129-3127

Other names 1

  • The Psychotherapy Group of Carey Driscoll Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228001128 MA Part B Supplier - Clinic/Group Practice 3476923913 Receives reassigned benefits from 5 practitioners
Practice locations: Charlestown, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1326650748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 TREMONT ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 TREMONT ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293127",
            "telephone_number": "978-317-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-07-30",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-317-2992"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Psychotherapy Group of Carey Driscoll",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Psychotherapy Group of Carey Driscoll",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.