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

Raven-Jade Harlequinn Shaddows

Individual provider Case Manager/Care Coordinator · NPI 1336987684

Raven-Jade Harlequinn Shaddows is a Case Manager/Care Coordinator in Watertown, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1336987684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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