Active NPI
Deanne Coles
- Social Worker
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 125889
- Practice address
- 650 State St
Watertown, NY 13601-2839 - Phone
- (315) 755-1251
- Fax
- (315) 291-6601
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 125889 | NY | Primary |
Addresses
Primary practice location
650 State St
Watertown, NY 13601-2839
Mailing address
4 Fuller St
Alexandria Bay, NY 13607-1391
Phone (315) 486-0510
Other practice location 1
4 Fuller St
Alexandria Bay, NY 13607-1391
Phone (315) 486-0510
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125889 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Advocates, Inc | Current | Accepting new patients |
Locations
31 6th St
Malone, NY 12953
Phone (518) 651-2254
125 Finney Blvd
Malone, NY 12953
Phone (518) 481-8160
16 Phillips St
Massena, NY 13662
Phone (315) 764-8076
1003 Park St
Ogdensburg, NY 13669
Phone (315) 713-9090
650 State St
Watertown, NY 13601
Phone (315) 755-1251
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Malone, NY
- NPI 1780619064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1992516470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FULLER ST",
"city": "ALEXANDRIA BAY",
"state": "NY",
"postal_code": "136071391",
"telephone_number": "315-486-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 STATE ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012839",
"telephone_number": "315-755-1251",
"fax_number": "315-291-6601"
}
],
"practiceLocations": [
{
"address_1": "4 Fuller St",
"address_purpose": "LOCATION",
"city": "Alexandria Bay",
"state": "NY",
"postal_code": "136071391",
"country_code": "US",
"telephone_number": "315-486-0510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLES",
"first_name": "DEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "125889",
"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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.