JESSICA LYNN GOUTREMOUT MSW INTERN
NPI 1760960447
Social Worker in Watertown, NY

Q: What is Jessica Goutremout's NPI number?

The NPI number for Jessica Goutremout is 1760960447. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Q: What is Jessica Goutremout's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since August 03, 2018

211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2020, Feb 11, 2020, Nov 7, 2019 and 1 more (4 updates tracked since 2018).

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About Jessica Lynn Goutremout Msw Intern NPPES

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

JESSICA LYNN GOUTREMOUT MSW INTERN (NPI 1760960447) is an individual social worker in Watertown, New York, licensed in (109063) and active in the NPI registry since August 2018. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1760960447

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSICA LYNN GOUTREMOUTCredential: MSW INTERN

Location Address211 J.B. WISE PLAZAWatertown, NY 13601

Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184

Phone(315) 782-7445

Fax(315) 779-1184

Sole ProprietorNo

Enumeration DateAugust 3, 2018

Last NPPES UpdateSeptember 18, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2020

✔ NPI 1760960447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed · 109063✔ Licensed in NY · P103556

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

211 J.B. WISE PLAZA, Watertown, NY 13601

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Secondary Practice Location 1

Location 1167 Polk St Ste 300Watertown, NY 13601-2770 · Phone (315) 782-7445 · Fax (315) 779-1184

Other Identifiers 1

Medicaid3372621NY

Other Providers at the Same Location NPPES 17

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

TAYLOR FREEMAN

Licensed Practical Nurse