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

Individual provider Social Worker · NPI 1760960447

Jessica Lynn Goutremout, MSWINTERN is a Social Worker in Watertown, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

211 J.b Wise Plz
Watertown, NY 13601
Phone: (315) 782-7445
Fax: (315) 779-1184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 167 Polk St Ste 300, Watertown, NY 13601-2770 — (315) 782-7445

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 109063
Social Worker Taxonomy 104100000X · Licence P103556 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760960447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWINTERN
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 16, 2020

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