Individual
NICOLE ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016668
VA
1041C0700X
Clinical Social Worker
149026195
IL
1041C0700X
Clinical Social Worker
Primary
34010561A
IN
1041C0700X
Clinical Social Worker
5720C
AL
1041C0700X
Clinical Social Worker
TPSW5597
FL
Other
Enumeration date
10/09/2023
Last updated
03/09/2026
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