| Doctor Name: | WILLIAM JOSEPH DRISCOLL |
| NPI Number: | 1396822995 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 1189-123 |
| Business Practice Address: | 4909 S Coast Hwy South Beach, OR - 973669616 |
| Business Phone Number: | 5415745960 |
| Business Fax Number: | 5418676548 |
| Mailing Address: | 36 Sw Nye St, NEWPORT |
| State: | OR |
| Postal Code: | 973653821 |
| Phone Number: | 5412650513 |
| Fax Number: | 5418676548 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1189-123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |