Individual
MS. CARLA C POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
523 RIDGEBURY RD, SLATE HILL, NY 10973-4310
(845) 355-1092
(845) 355-6535
Mailing address
523 RIDGEBURY RD, SLATE HILL, NY 10973-4310
(845) 355-1092
(845) 355-6535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-20600-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136227
VALUE OPTIONS
NY
01
—
5459553
AETNA
NY
Enumeration date
03/19/2007
Last updated
01/06/2011
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