Individual provider Active NPI

Kristie Damon, LMSW

  • Clinical Social Worker
  • Watertown, NY
National Provider Identifier
1306566682
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102935-01 Issued in NY
Practice address
20604 County Route 63
Watertown, NY 13601-5557
Phone
(315) 955-8441
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117641NYMDSocial Worker
102935-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Jefferson County CurrentSince Sep 10, 2023 Accepting new patients
Children'S Home of Jefferson County CurrentSince Sep 4, 2022 Accepting new patients
Anchor Point Therapy, LLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117641 NY
Clinical Social Worker 1041C0700X 102935-01 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

20604 County Route 63
Watertown, NY 13601-5557

Mailing address

20604 County Route 63
Watertown, NY 13601-5557
Phone (315) 955-8441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2026.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1306566682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20604 COUNTY ROUTE 63",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015557",
            "telephone_number": "315-955-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20604 COUNTY ROUTE 63",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015557",
            "telephone_number": "315-955-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "KRISTIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117641",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102935-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.