| Doctor Name: | MR. JEREMY P SANTACROCE |
| NPI Number: | 1215152632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN/NP, LICSW |
| License Number: | 114229 |
| Business Practice Address: | 323 Boston Post Rd Unit 4c Sudbury, MA - 017763022 |
| Business Phone Number: | 9784436960 |
| Business Fax Number: | 9784436502 |
| Mailing Address: | 323 Boston Post Rd, Unit 4c SUDBURY |
| State: | MA |
| Postal Code: | 017763022 |
| Phone Number: | 9784436960 |
| Fax Number: | 9784436502 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 114229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |