Organization Active NPI

Potential Space PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1497566327
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POTENTIAL SPACE PLLC
Practice address
18 W Colony PL Ste 140
Durham, NC 27705-5582
Phone
(919) 673-8287
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Elissa N Baldwin, PHD, LCSWNPI 1780604348
Title
Owner & Psychotherapist
Phone
(919) 673-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18 W Colony PL Ste 140
Durham, NC 27705-5582

Mailing address

18 W Colony PL Ste 140
Durham, NC 27705-5582
Phone (919) 673-8287

National Provider Directory

National Provider Directory

Locations

18 W Colony Pl
Ste 140
Durham, NC 27705
Phone (919) 673-8287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1497566327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W COLONY PL STE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055582",
            "telephone_number": "919-673-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W COLONY PL STE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055582",
            "telephone_number": "919-673-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL SPACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-673-8287",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.