Jessica Potvin
Individual provider Active NPI Clinical Social Worker · Cedarville, MI
NPI 1194487066 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1194487066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 106 E M 134
Cedarville, MI 49719-9568 - Phone
- (906) 322-7065
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
106 E M 134
Cedarville, MI 49719-9568
Mailing address
106 E M 134
Cedarville, MI 49719-9568
Other providers in Cedarville, MI
- Kathleen M Duman
- Emily Joanna Duncan
- Joseph Garlinghouse
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Kimberly Reid
- Scott Skinner
- Blake Mitchell Slater
- Uper, Inc
All providers in Cedarville, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.