# JEREMY SANTACROCE, RN/NP, LICSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164781720
- **Authorized official:** JEREMY SANTACROCE RN/NP, LICSW (OWNER)
- **Authorized official phone:** (978) 443-6960

## Contact information

- **Practice address:** 323 BOSTON POST RD, UNIT 4C, SUDBURY, MA 01776-3022
- **Practice address phone:** (978) 443-6960
- **Practice address fax:** (978) 443-6502
- **Mailing address:** 323 BOSTON POST RD, UNIT 4C, SUDBURY, MA 01776-3022
- **Mailing address phone:** (978) 443-6960
- **Mailing address fax:** (978) 443-6502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 114229 | MA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN2264377 | MA | Yes |

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 05/16/2012