MRS. SUSAN M CARROLL


Address: 21638 Reed Rd, Watertown, NY 13601-5048
Phone: 3157860677

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers SUSAN CARROLL

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

Office Location

Street Address 21638 REED RD
City WATERTOWN
State NY
Zip Code 13601-5048

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WATERTOWN
Zip Code 13601

Improve Information

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Dataset Information

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.

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