Mary Elizabeth Driscoll-Grace, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1027490 Issued in MA

Practice address

1153 Centre St
Jamaica Plain, MA 02130-3446

Phone

(617) 983-7512

Fax

(617) 983-7455

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Elizabeth Driscoll Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619183449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ROUNDTOP RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522723",
            "telephone_number": "617-983-7512",
            "fax_number": "617-983-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7512",
            "fax_number": "617-983-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL-GRACE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DRISCOLL",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dr Amirifeli Nouvelle Avenue PLLC
• Margaret Ann Drazba, RD
• Carmel Trinity Drewes, LICSW (MA), LCSW (TX
• Hilla Drewiacki Breiman
• Brittany Dries
• Julie Driscoll, OTR/L
• Adrienne Goeller Drucker, PHARMD
• Steuart C Drury
• Casey Dubuque
• Caroline Abigail Duchin, LICSW

• Clinical Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.