Active NPI
Anna Potter, LCSW
- Clinical Social Worker
- Williamsburg, VA
National Provider Identifier
1427971555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904020872
- Practice address
- 1318 Jamestown Rd Ste 102
Williamsburg, VA 23185-3382 - Phone
- (917) 627-5313
- Fax
- (757) 282-2546
- NPI assigned
- Aug 4, 2026
- Last updated
- Aug 4, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904020872 | VA | Primary |
Addresses
Primary practice location
1318 Jamestown Rd Ste 102
Williamsburg, VA 23185-3382
Mailing address
4951 Fenton Mill Rd
Williamsburg, VA 23188-6923
Phone (917) 627-5313
Other practice location 1
1415C Tappahannock Blvd
Tappahannock, VA 22560-9314
Phone (917) 627-5313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904020872 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Bella Counseling | Clinical | Past | Accepting new patients |
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": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1427971555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 FENTON MILL RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231886923",
"telephone_number": "917-627-5313",
"fax_number": "757-282-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 JAMESTOWN RD STE 102",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853382",
"telephone_number": "917-627-5313",
"fax_number": "757-282-2546"
}
],
"practiceLocations": [
{
"address_1": "1415C Tappahannock Blvd",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225609314",
"country_code": "US",
"telephone_number": "917-627-5313",
"fax_number": "757-282-2546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904020872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.