Individual provider · Type 1 NPI
Carolyn Jukic, LSW
Clinical Social Worker · Fort Drum, NY
Practice location
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | S.2309556 (OH) |
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | I.2506867 (OH) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1124703293
Carolyn Jukic, LSW's National Provider Identifier is 1124703293, issued on Jun 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 8, 2025.