Potentials, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POTENTIALS, LLC

Practice address

2505 S 17TH St Ste 200
Wilmington, NC 28401-7992

Phone

(910) 254-4545

NPI assigned

Nov 8, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Chambers, LCSWNPI 1497737688

Title

Partner

Phone

(910) 254-4545

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Elizabeth Chambers, MSW LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1497737688
  Authorized official Same address or phone

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1457175333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-254-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-254-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "910-254-4545",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porters Neck Psychological Services, PLLC
• Julia Posey, MD
• Moira Shortell Post, CRNA
• Postacutenc P.C.
• Postacutenc Value Care, PC
• Annie Rachel Poole Potter
• Hannah Potter, LCSWA
• Jack Potter, DPT
• Thomas G. Pottle, M D
• Amber Potts, LCMHCA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.