# MR. JEREMY P SANTACROCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215152632
- **Gender:** Man
- **Credential:** RN/NP, LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 213256 | MA | — |
| 1041C0700X | Clinical Social Worker | 114229 | MA | — |
| 163W00000X | Registered Nurse | RN2264377 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2264377 | MA | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/03/2022