Provider Demographics
NPI:1831264332
Name:DRISCOLL, CHRISTINE SLEEPER (MSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:SLEEPER
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:31 UPPER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2518
Mailing Address - Country:US
Mailing Address - Phone:978-356-9157
Mailing Address - Fax:978-356-1808
Practice Address - Street 1:7 ESSEX GREEN DR
Practice Address - Street 2:SUITE 65
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2961
Practice Address - Country:US
Practice Address - Phone:978-356-0212
Practice Address - Fax:978-356-1808
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1051781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical