Jeremy Edward Driscoll

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

000209 Issued in CT

Legal business name

JEREMY EDWARD DRISCOLL

Practice address

150 Sycamore Dr
Torrington, CT 06790-4262

Phone

(860) 309-7034

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Jeremy Edward Driscoll, LCSWNPI 1609919810

Title

Clinical Social Worker

Phone

(860) 309-7034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Driscoll

  • Clinical Social Worker
  • Torrington, CT
  • NPI 1609919810
  Authorized official Same address or phone

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1841684164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SYCAMORE DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904262",
            "telephone_number": "860-309-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SYCAMORE DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904262",
            "telephone_number": "860-309-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY EDWARD DRISCOLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-309-7034",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "000209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Clement, LCSW, PLLC
• James T Smith Jr DMD PC
• Silda Auriella James, MD
• Rengarajan Janakiraman, MD
• Andrea Mancini Janecko, LMSW
• Kimberly Ann Joerg, A.P.R.N.
• Camellia A Johnson, LCSW,MSW,BA
• Christine Johnson, RPH
• Makia Johnson, LCSW
• Michelle Marie Johnson, PHYSICAL THERAPIST

• Mental Health Clinic/Center (Including Community Mental Health Center) in Torrington, CT
• Providers in Torrington, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.