NPIMap

Organization Active NPI

Jefferson County Community Services

  • Case Management Agency
  • Watertown, NY
National Provider Identifier
1639396559
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JEFFERSON COUNTY COMMUNITY SERVICES
Practice address
175 Arsenal St
Watertown, NY 13601-2528
Phone
(315) 785-3283
Fax
(315) 785-5182
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ljuba Cvetkovic, LMSW
Title
Early Intervention and Preschool Co
Phone
(315) 785-3283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

175 Arsenal St
Watertown, NY 13601-2528

Mailing address

175 Arsenal St FL 5
Watertown, NY 13601-2528
Phone (315) 785-3283

Other identifiers 2

IdentifierTypeStateIssuer
00583615MedicaidNY
03004491MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1639396559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ARSENAL ST FL 5",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012528",
            "telephone_number": "315-785-3283",
            "fax_number": "315-785-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012528",
            "telephone_number": "315-785-3283",
            "fax_number": "315-785-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CVETKOVIC",
        "authorized_official_first_name": "LJUBA",
        "authorized_official_title_or_position": "EARLY INTERVENTION AND PRESCHOOL CO",
        "authorized_official_telephone_number": "315-785-3283",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583615",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03004491",
            "state": "NY"
        }
    ],
    "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 Apr 28, 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.