Active NPI
Carolyn Ann Driscoll, LMSW
- Social Worker
- Forest Hills, NY
National Provider Identifier
1902042088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 077854-1
- Practice address
- 10326 68TH Rd
Forest Hills, NY 11375-3263 - Phone
- (718) 261-3330
- NPI assigned
- Dec 19, 2008
- Last updated
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 077854-1 | NY | Primary |
Addresses
Primary practice location
10326 68TH Rd
Forest Hills, NY 11375-3263
Mailing address
7666 Austin St Apt 5a
Forest Hills, NY 11375-6902
Phone (516) 316-3957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077854-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1902042088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7666 AUSTIN ST APT 5A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756902",
"telephone_number": "516-316-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10326 68TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753263",
"telephone_number": "718-261-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "077854-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.