Individual provider Active NPI

John L. Potash, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1710128632
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12923 Issued in MD
Practice address
6106 Edmondson Ave
Baltimore, MD 21228-1830
Phone
(410) 960-7744
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12923 MD Primary
Clinical Social Worker 1041C0700X 006154 CT
Clinical Social Worker 1041C0700X 073180 NY

Addresses

Primary practice location

6106 Edmondson Ave
Baltimore, MD 21228-1830

Mailing address

1905 Oak Lodge Rd
Catonsville, MD 21228-4765
Phone (410) 960-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091111000264 MD Practitioner - Clinical Social Worker 0446398481 Practice locations: Catonsville, MD; Ellicott City, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1009 Frederick Rd
Catonsville, MD 21228-5055
Phone (410) 960-7744

1905 Oak Lodge Rd
Catonsville, MD 21228-4765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006154CTMDClinical Social Worker
12923MDMDClinical Social Worker
073180NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1710128632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 OAK LODGE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284765",
            "telephone_number": "410-960-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281830",
            "telephone_number": "410-960-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "JOHN",
        "middle_name": "L.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12923",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.