Individual provider Active NPI

Elaine Renee Potts, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1174769400
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017220 Issued in PA
Practice address
1803 Oregon Pike
Lancaster, PA 17601-6401
Phone
(717) 560-9969
Fax
(717) 560-9553
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017220 PA Primary

Addresses

Primary practice location

1803 Oregon Pike
Lancaster, PA 17601-6401

Mailing address

1803 Oregon Pike
Lancaster, PA 17601-6401
Phone (717) 560-9969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000196 PA Practitioner - Clinical Social Worker 1557782323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling CenterGroup PAC ID 2163311309, 19 clinicians

Practice addresses (Care Compare)

1803 Oregon Pike
Lancaster, PA 17601-6401
Phone (717) 560-9969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017220PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Clinical CurrentSince Sep 29, 2025 Accepting new patients
Life Span Psychological Services PC Clinical Past Accepting new patients

Locations

1803 Oregon Pike
Lancaster, PA 17601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1174769400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016401",
            "telephone_number": "717-560-9969",
            "fax_number": "717-560-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016401",
            "telephone_number": "717-560-9969",
            "fax_number": "717-560-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "ELAINE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.