JESSICA LYNN GOUTREMOUT (NPI# 1760960447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760960447 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN GOUTREMOUT |
| Credential | MSW INTERN |
| Practice Address |
211 J.b. Wise Plaza Watertown NY 13601 |
| Mailing Address |
Po Box 6550 Watertown NY 13601-6550 |
| Practice Telephone | 3157827445 |
| Practice Fax Number | 3157791184 |
| Mailing Telephone | 3157827445 |
| Mailing Fax Number | 3157791184 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 109063 | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | P103556 | NY | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 3372621 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Polk St Ste 300, Watertown, NY 136012770 | 3157827445 | 3157791184 |
| Street Address |
211 J.B. WISE PLAZA |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831441344 | Linda Macqueen | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2012-10-08 |
| 1114534096 | Taylor Freeman | Licensed Practical Nurse | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-09-25 |
| 1992316657 | Michele Kolb | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-08-14 |
| 1518578368 | Brieanna Lewis | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-08-14 |
| 1982225256 | Chika Francess Egorho | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-04-28 |
| 1831720143 | Kristen Eberly | Social Worker | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-01-27 |
| 1376189118 | Eunmi Park | Counselor | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-11-26 |
| 1205495934 | Lisa M Augustus | Counselor | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-06 |
| 1417515552 | Kourtney K Darrow | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-04 |
| 1376022707 | Angela Rotella | Licensed Practical Nurse | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420989 | Johnna Renee Pupillo | Social Worker | 1220 Coffeen St Bldg 17, Watertown, NY 13601-1897 | 2020-02-27 |
| 1356820914 | Laura Andrews | Social Worker | 218 Palfrey St, Watertown, MA 02472-1836 | 2018-08-14 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1366836264 | Jillian M Viessman | Social Worker | 1424 9th Ave Se Ste 7, Watertown, SD 57201-5361 | 2015-03-28 |
| 1891046462 | Joseph I Lubashevsky | Social Worker | 167 Polk St Ste 300, Watertown, NY 13601-2770 | 2012-09-24 |
| 1114216124 | Cynthia Lee Knoell | Social Worker | 900 Deerfield Rd, Watertown, MN 55388-9271 | 2011-03-30 |
| 1154652212 | Jenna K. Daniels | Social Worker | 507 Margaret St, Watertown, WI 53098-2541 | 2010-01-28 |
| 1235464058 | Joanna G. Dailey | Social Worker | 20104 St. Rt. 3, Watertown, NY 13601 | 2009-10-13 |
| 1639331986 | Kaitlin Smith | Social Worker | 63 Carey Ave, Apt 5, Watertown, MA 02472-3071 | 2008-06-27 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.