Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Jukic, LSW

Individual provider Clinical Social Worker · NPI 1124703293

Carolyn Jukic, LSW is a Clinical Social Worker in Fort Drum, New York. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-0977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2506867 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence S.2309556 (OH)
Clinical Social Worker Taxonomy 1041C0700X (OH)

Record details

NPI number1124703293
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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