Provider Demographics
NPI:1306112412
Name:DRISCOLL, JANICE F (LCSW)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:F
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2312
Mailing Address - Country:US
Mailing Address - Phone:631-271-0913
Mailing Address - Fax:631-261-3250
Practice Address - Street 1:29 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-2312
Practice Address - Country:US
Practice Address - Phone:631-271-0913
Practice Address - Fax:631-261-3250
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical