Individual provider Active NPI

Elena Potter, LLMSW

  • Social Worker
  • Kent City, MI
National Provider Identifier
1396588190
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
351 N Main St
Kent City, MI 49330-9110
Phone
(616) 678-6002
Fax
(616) 678-7140
NPI assigned
Jun 18, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

351 N Main St
Kent City, MI 49330-9110

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elena.potter.p1@direct.bfhc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Sep 14, 2025 Accepting new patients
Baldwin Family Health Care PastSince Sep 14, 2025 Accepting new patients

Locations

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

351 N Main St
Kent City, MI 49330
Phone (616) 678-6002

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, 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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1396588190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N MAIN ST",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309110",
            "telephone_number": "616-678-6002",
            "fax_number": "616-678-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELENA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elena.potter.p1@direct.bfhc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "351 N Main St",
            "city": "Kent City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493309110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.