Provider Demographics
NPI:1649315268
Name:DRISCOLL, PATRICIA TAFFE (MSW LICSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:TAFFE
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ANNE
Other - Last Name:TAFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:122 FIFTH STREET SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-1122
Mailing Address - Country:US
Mailing Address - Phone:202-543-5409
Mailing Address - Fax:
Practice Address - Street 1:122 FIFTH STREET SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-1122
Practice Address - Country:US
Practice Address - Phone:202-543-5409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD016491041C0700X
DC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical