Earl Ross Poteet, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW-1809 Issued in CO

Practice address

117 Fairway VLG
Pueblo West, CO 81007-3621

Phone

(303) 908-8623

NPI assigned

Mar 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Project Pueblo

  • Community/Behavioral Health Agency
  • Pueblo West, CO
  • NPI 1245513399
  NPD (past) Authorized official
• Angels of Care Pediatric Home Health Colorado, LLC.

  • Home Health Agency
  • Aurora, CO
  • NPI 1184164436
  NPD (past)
• Premier Back Rehabilitation Center, PC

  • Orthopaedic Trauma Physician
  • Pueblo, CO
  • NPI 1598829327
  NPD (past)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1386943280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FAIRWAY VLG",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073621",
            "telephone_number": "303-908-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FAIRWAY VLG",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073621",
            "telephone_number": "303-908-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEET",
        "first_name": "EARL",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW-1809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Patten, BSN, RN, DNP, FNP
• Sherry Lynn Perdue, BS, LAT, ATC
• Pikes Peak Diagnostics LLC
• Laura Pilger
• Faith G Pitts
• Poudre Valley Medical Group, LLC
• Kimberly Powell
• Preservehealth
• Preservehealth
• Megan Prewitt-Petty

• Clinical Social Worker in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.