Active NPIIndividual providerSole proprietor

Mr. Jeremy P Santacroce, RN/NP, LICSW

Nurse Practitioner, Psych/Mental Health in Sudbury, Massachusetts

NPI Number1215152632
Practice location
323 Boston Post RD, Unit 4C, Sudbury, MA 01776-3022
Fax
978-443-6502
Last updated
August 3, 2022

Jeremy P Santacroce is a Nurse Practitioner, Psych/Mental Health based in Sudbury, MA. Jeremy P Santacroce practices in Sudbury, MA and has the professional credentials of RN/NP, LICSW. The NPI Number for Jeremy P Santacroce is 1215152632 and holds a License No. 213256 (MA). The current practice location address for Jeremy P Santacroce is 323 Boston Post RD, Unit 4C, Sudbury, MA 01776-3022 and can be reached out via phone at 978-443-6960 and via fax at 978-443-6502.

Provider Profile Details

NPI Number
1215152632
Provider Name
Jeremy P Santacroce
Credential
RN/NP, LICSW
Provider Entity Type
Individual
Gender
Male
Address
323 Boston Post RD, Unit 4C, Sudbury, MA 01776-3022
Phone Number
978-443-6960
Fax Number
978-443-6502
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2007
Last Update Date
August 3, 2022
Certification Date
August 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
323 Boston Post RD
Unit 4C
Sudbury, MA 01776-3022
Zip
01776-3022
Phone Number
978-443-6960
Fax Number
978-443-6502
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
323 Boston Post RD
Unit 4C
Sudbury, MA 01776-3022
City
Sudbury
State
MA
Zip
01776-3022
Phone Number
978-443-6960
Fax Number
978-443-6502

License Information

License Number (1)
213256
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
114229
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
RN2264377
License State (3)
MA
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
RN2264377
License State (4)
MA
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mr. Jeremy P Santacroce, RN/NP, LICSW?

The NPI number of Mr. Jeremy P Santacroce, RN/NP, LICSW is 1215152632. It was assigned on April 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeremy P Santacroce, RN/NP, LICSW?

Mr. Jeremy P Santacroce, RN/NP, LICSW is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 213256.

Where does Mr. Jeremy P Santacroce, RN/NP, LICSW practice?

The practice location is 323 Boston Post RD, Unit 4C, Sudbury, MA 01776-3022. The office can be reached at 978-443-6960 (phone) or 978-443-6502 (fax).

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 1215152632 directly on the NPPES registry website.

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