Active NPIIndividual providerSole proprietor

Timothy Driscoll, LICSW

Social Worker, Clinical in Bedford, Massachusetts

NPI Number1194901108
Practice location
200 Springs RD, Bedford, MA 01730-1114
Fax
—
Last updated
June 3, 2022

Timothy Driscoll is a Social Worker, Clinical based in Bedford, MA. Timothy Driscoll practices in Bedford, MA and has the professional credentials of LICSW. The NPI Number for Timothy Driscoll is 1194901108 and holds a License No. 1031162 (MA). The current practice location address for Timothy Driscoll is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 818-796-1867.

Provider Profile Details

NPI Number
1194901108
Provider Name
Timothy Driscoll
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
200 Springs RD, Bedford, MA 01730-1114
Phone Number
818-796-1867
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2008
Last Update Date
June 3, 2022
Certification Date
June 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
818-796-1867
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
4 Beverly RD
Bedford, MA 01730-1137
City
Bedford
State
MA
Zip
01730-1137
Phone Number
781-275-1028

License Information

License Number
1031162
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Driscoll, LICSW?

The NPI number of Timothy Driscoll, LICSW is 1194901108. It was assigned on January 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Timothy Driscoll, LICSW?

Timothy Driscoll, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031162.

Where does Timothy Driscoll, LICSW practice?

The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 818-796-1867 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194901108 directly on the NPPES registry website.

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