Individual provider Active NPI

Laura Potie, LCSW

  • Social Worker
  • Mount Pleasant, MI
National Provider Identifier
1700324860
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801087336 Issued in MI
Practice address
614 E Broadway St
Mount Pleasant, MI 48858-2728
Phone
(989) 506-8533
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 6801087336 MI Primary

Addresses

Primary practice location

614 E Broadway St
Mount Pleasant, MI 48858-2728

Mailing address

1418 Crestwood Dr
Mt Pleasant, MI 48858-6104
Phone (989) 506-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129000793 MI Practitioner - Clinical Social Worker 7911375779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 E Broadway St
Mt Pleasant, MI 48858-2728
Phone (989) 506-8533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087336MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Potie Counseling Services CurrentSince Oct 7, 2022 Accepting new patients

Locations

614 E Broadway St
Mt Pleasant, MI 48858
Phone (989) 506-8533

215 W Broadway St
Mt Pleasant, MI 48858
Phone (810) 412-8489

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1700324860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CRESTWOOD DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586104",
            "telephone_number": "989-506-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E BROADWAY ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582728",
            "telephone_number": "989-506-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTIE",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-11-07",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.