Julie Potter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW5206 Issued in KS

Practice address

4151 N Mulberry Dr # 204
Kansas City, MO 64116-4447

Phone

(816) 226-8881

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Utah County Department of Drug and Alcohol Prevention and Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Provo, UT
  • NPI 1295852911
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1366709339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NW 50TH ST",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641503327",
            "telephone_number": "719-439-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 N MULBERRY DR # 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164447",
            "telephone_number": "816-226-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW5206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Kay Poteet
• Tiffany Poterbin, D.C.
• Suveenkrishna Pothuru, MD
• Eric Potrykus, PHARMD
• Melissa Ann Pottebaum, MSN
• Nicholas Potter
• Renee Potter
• Sarah Michelle Potter, PA-C
• Scott Ellis Potter I, O.D.
• Jennifer Ashley Potterfield, M.A., BCBA

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.