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CAROLYN JUKIC LSW
NPI 1124703293
Social Worker - Clinical in Fort Drum, NY

Active since June 16, 2023
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-0977 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Jul 7, 2023, Jun 16, 2023 (3 updates tracked since 2023).

About Carolyn Jukic Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN JUKIC LSW (NPI 1124703293) is an individual clinical provider in Fort Drum, New York, licensed in Ohio (I.2506867) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1124703293
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN JUKICCredential: LSW
Location Address11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602-5438
Mailing Address11050 Mount Belvedere BlvdFort Drum, NY 13602-5438 · (315) 772-0977
Phone(315) 772-0977
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1124703293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OH · I.2506867✔ Licensed in OH · S.2309556
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Names 1

Former Name (1)Carolyn Munich Lisw

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Jukic's NPI number?

The NPI number for Carolyn Jukic is 1124703293. It was assigned to this individual provider in the NPPES registry on June 16, 2023. The provider is also known as Carolyn Munich Lisw.

Where is Carolyn Jukic located?

Carolyn Jukic practices at 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-0977.

What is Carolyn Jukic's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carolyn Jukic was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.