Christy Marie Driscoll, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

633 Gidney Ave Ste 6
Newburgh, NY 12550-2805

Phone

(845) 569-2900

Fax

(866) 619-5710

NPI assigned

Sep 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1578812236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PAYSON RD",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201603",
            "telephone_number": "845-913-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GIDNEY AVE STE 6",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502805",
            "telephone_number": "845-569-2900",
            "fax_number": "866-619-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "591553-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seomera Ornella Loze Douglas
• Michael Edward Doyle, M.D.
• Dr. Elaina M Groo OD
• Dr. John Kaknis, O.D., P.C.
• Barbara Jane Drew, RN
• Kristin Driscoll, PHARM.D.
• Driveu Transport Services
• Dsi Dutchess Dialysis, Inc
• Dsi Newburgh, LLC (DSI Newburgh Dialysis)
• Dubois Physician Services

• Clinical Social Worker in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.