Children'S Home of Jefferson County
Organization Active NPI Case Management Agency · Watertown, NY
NPI 1770625527 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1770625527
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- CHILDREN'S HOME OF JEFFERSON COUNTY
- Practice address
- 211 JB Wise PL
Watertown, NY 13601-2507 - Phone
- (315) 779-1507
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Michelle Lynn Monnat, LMHC
- Title
- President and Ceo
- Phone
- (315) 777-9747
Corporate family (same tax ID) 3
Practitioners 106
-
Lisa M Augustus, MHC
-
Abbigail F Carroll, LPN
-
Brittany M Clark, LMSW
-
Shana Clark, LPN
-
Dawn Marie Curtis, LCSW
-
Kristie Damon, LMSW
-
Alberto Gonzalez, LCSW
-
Jessica Lynn Goutremout, MSW INTERN
-
Lisa J Hedger, LMHC
National Provider Directory
- Tax ID family
- Childrens Home of Jefferson
Locations
80 State Highway 310
Canton, NY 13617
Phone (315) 386-2167
167 Polk St
Ste 300
Watertown, NY 13601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
211 JB Wise PL
Watertown, NY 13601-2507
Mailing address
PO Box 6550
Watertown, NY 13601-6550
Phone (315) 777-9747
Other practice location 1
80 State Highway 310
Canton, NY 13617-1436
Phone (315) 788-7430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02502243 | Medicaid | NY |
Other providers in Watertown, NY
- Mary Anne Chiappone
- Child and Adolescent Health Associates
- Daniel Joseph Childers
- Children'S Home of Jefferson County
- Children'S Home of Jefferson County
- Childrens HM Jefferson Cnty B2H
- Catherine Chipp
- Biren V Chokshi
- Donny Joe Chouinard
- Laura Chouinard
All providers in Watertown, NY · Case Management Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.