MRS. SUSAN M CARROLL (NPI# 1427319268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427319268 |
Entity Type | Individual |
Full Name | MRS. SUSAN M CARROLL |
Practice Address |
21638 Reed Rd Watertown NY 13601-5048 |
Mailing Address |
2186 Doran Rd Copenhagen NY 13626-3301 |
Practice Telephone | 3157860677 |
Practice Fax Number | 3158363782 |
Mailing Telephone | 3154081738 |
Enumeration Date | 2012-06-07 |
Last Update Date | 2012-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861890741 | Susan Marie Carroll | Speech-Language Pathologist | 4282 Sequoyah Rd, Oakland, CA 94605-4639 | 2014-12-09 |
1740439546 | Susan P Carroll | Speech-Language Pathologist | 5173 Eastbrook Rd, Douglasville, GA 30135-7436 | 2008-09-17 |
1538389523 | Susan Kay Carroll | Dental Hygienist | 24427 Se 44th Ct, Issaquah, WA 98029-6554 | 2007-05-01 |
1134642457 | Susan Carroll | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2017-07-18 |
1801341748 | Susan Carroll | Licensed Practical Nurse | 451 E Henrietta Rd, 2, Rochester, NY 14620-4629 | 2016-08-21 |
1366777112 | Susan Marian Carroll | Psychologist | 205 E 16th St, Suite M1a, New York, NY 10003-3746 | 2009-10-13 |
1497810600 | Susan Carroll | Dietitian, Registered | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
1851451991 | Susan M. Carroll | Social Worker | 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 | 2006-12-11 |
1265442255 | Susan A. Carroll | Dentist | 15915 S Crystal Creek Dr Ste B, Homer Glen, IL 60491-9381 | 2006-08-09 |
Street Address |
21638 REED RD |
City | WATERTOWN |
State | NY |
Zip Code | 13601-5048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053564591 | Erin Elizabeth Cook | Physical Therapist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2008-10-28 |
1770138752 | Marissa Makuch | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2019-08-06 |
1003204058 | Stephanie Doney | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-12-29 |
1780085472 | Brenda Marie Jock Derouin | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-12 |
1932500105 | Kelly Kowalczyk | Physical Therapist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-08 |
1053712430 | Ondrea Clark | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-04 |
1215361217 | Courtney Donovan | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2013-08-26 |
1780933572 | Stephanie Driscoll | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-09-07 |
1922360395 | Kylie A Rosette | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-06-12 |
1659633394 | Megan R Daly | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
Find all providers in zip 13601 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508274549 | Laura Avery | Case Manager/Care Coordinator | 167 Polk St Ste 240, Watertown, NY 13601-2770 | 2014-07-22 |
1639430606 | Jennifer Gaffney Delozier | Case Manager/Care Coordinator | 326 S. Hamilton Street, B, Watertown, NY 13601-3872 | 2012-06-06 |
1790083202 | Nancy T. Bradley | Case Manager/Care Coordinator | 263 Lexington St, Watertown, MA 02472-1165 | 2011-03-08 |
1992353437 | Ashlee Anne Weldon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-08-28 |
1154987337 | Michelle Anne Wilder | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-05-14 |
1730647488 | Jamie Block | Case Manager/Care Coordinator | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-03-12 |
1285107391 | Anna Azalia Ward | Case Manager/Care Coordinator | 1704 State St, Watertown, NY 13601-3102 | 2019-01-11 |
1730652892 | Kiara Monee' Colvin | Case Manager/Care Coordinator | 1704 State St, Watertown, NY 13601-3102 | 2019-01-10 |
1164994794 | Desiree Michelle Torres Colon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-20 |
1457823171 | Donny Joe Chouinard | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-19 |
Find all providers in WATERTOWN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.