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

Mia Boissevain

Individual provider Case Manager/Care Coordinator · NPI 1740026368

Mia Boissevain is a Case Manager/Care Coordinator in Watertown, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (518) 651-2302
Fax: (315) 291-6601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21502 Redwood Ln Apt C, Watertown, NY 13601-6259 — (207) 423-1968

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1740026368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address21502 Redwood Ln Apt C, Watertown, NY 13601-6259

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