Potentilla Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POTENTILLA THERAPY PLLC

Practice address

196 Woodland St Unit 1C
Bristol, CT 06010-5283

Phone

(860) 309-5569

NPI assigned

Mar 10, 2025

Last updated

Jun 19, 2025By 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

Amanda Dill, LCSWNPI 1962811240

Title

Owner/LCSW

Phone

(860) 309-5569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Amanda Dill, LCSW

  • Social Worker
  • Tewksbury, MA
  • NPI 1962811240

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1669271870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BIRGE ST APT 7",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905575",
            "telephone_number": "860-309-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WOODLAND ST UNIT 1C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105283",
            "telephone_number": "860-309-5569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Birge St Apt 7",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905575",
            "country_code": "US",
            "telephone_number": "860-309-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POTENTILLA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "860-309-5569",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Pontes de Lucena Domingues
• Diane Pope, LCSW
• Laura P Posada-Pacheco, D.D.S.,M.D.S.
• Posner & Henderson, P.C.
• Howard J Posner, DDS
• Molly S Poulin, DPT
• Isabella Rosalie Pratt, RD
• Timothy M Pratt, DO
• Lindsay Prendergast
• Jocelyn Rose Prezioso, DPT

• Clinical Social Worker in Bristol, CT
• Providers in Bristol, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.