Individual provider Active NPI

Lindsay M Potts, MSW, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1326584772
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007682A Issued in IN
Practice address
8312 S Ashley Ave
Bloomington, IN 47401-8900
Phone
(812) 269-2479
NPI assigned
Jan 10, 2017
Last updated
Mar 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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 34007682A IN Primary

Addresses

Primary practice location

8312 S Ashley Ave
Bloomington, IN 47401-8900

Mailing address

8312 S Ashley Ave
Bloomington, IN 47401-8900
Phone (812) 269-2479

Other practice location 1

727 W 2nd St
Bloomington, IN 47403-2353
Phone (812) 353-3450

Other practice location 2

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170131000494 IN Practitioner - Clinical Social Worker 4688956402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007682AINMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1326584772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 S ASHLEY AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018900",
            "telephone_number": "812-269-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 S ASHLEY AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018900",
            "telephone_number": "812-269-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032353",
            "country_code": "US",
            "telephone_number": "812-353-3450",
            "fax_number": "812-353-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 S Rogers St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032353",
            "country_code": "US",
            "telephone_number": "812-339-1691",
            "fax_number": "812-337-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007682A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.