William Jason Driscoll in Atlanta - Clinical

William Jason Driscoll - NPI 1356500953

William Jason Driscoll is a Clinical in Atlanta, Georgia. William Jason Driscoll practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Jason Driscoll is 1356500953. The last update date is 2008-06-09.

William Jason Driscoll's current location address is 1050 Crown Pointe Pkwy, Atlanta, Georgia. You can contact this provider via phone number 8663255434 and fax number 8663255340. The mailing address for William Jason Driscoll is 1050 Crown Pointe Pkwy, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name William Jason Driscoll
Address 1050 Crown Pointe Pkwy, Atlanta, Georgia
Phone Number 8663255434
Fax Number 8663255340
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1356500953
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 1050 Crown Pointe Pkwy
City Atlanta
State Georgia (GA)
Post Code 303387707
Phone Number 8663255434
Fax Number 8663255340

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CSW003942
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CSW00392 GA STATE LICENSE

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FAQs about William Jason Driscoll

What is the unique identification code assigned to William Jason Driscoll by the Centers for Medicare & Medicaid Services?

The William Jason Driscoll has been issued the NPI (National Provider Identifier) 1356500953. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the William Jason Driscoll's physical address?

The William Jason Driscoll is physically located at 1050 Crown Pointe Pkwy, in the city of Atlanta, GA, with the postal code 303387707.

What is the William Jason Driscoll's specialty and taxonomy code?

The William Jason Driscoll's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the William Jason Driscoll receive the assignment of its 1356500953 from the Centers for Medicare & Medicaid Services?

The William Jason Driscoll was issued its 1356500953 by the Centers for Medicare & Medicaid Services on 2008-06-09.

When was the information related to William Jason Driscoll most recently updated or refreshed?

The details pertaining to the William Jason Driscoll, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-09.

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