Active NPI
Roni Potter, LMSW
- Social Worker
- Rochester, NY
National Provider Identifier
1720757701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117648
- Practice address
- 224 Alexander St
Rochester, NY 14607-4000 - Phone
- (585) 922-7770
- NPI assigned
- Sep 13, 2021
- Last updated
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 117648 | NY | Primary |
Addresses
Primary practice location
224 Alexander St
Rochester, NY 14607-4000
Mailing address
224 Alexander St
Rochester, NY 14607-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117648 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1720757701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 ALEXANDER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 ALEXANDER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074000",
"telephone_number": "585-922-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "RONI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.