Individual provider Active NPI

Madison Lynn Potter, LCSW

  • Clinical Social Worker
  • Creve Coeur, MO
National Provider Identifier
1730873134
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024042660 Issued in MO
Practice address
967 Gardenview Office Pkwy
Creve Coeur, MO 63141-5917
Phone
(314) 561-9757
NPI assigned
Jun 7, 2023
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024042660 MO Primary

Addresses

Primary practice location

967 Gardenview Office Pkwy
Creve Coeur, MO 63141-5917

Mailing address

967 Gardenview Office Pkwy
Creve Coeur, MO 63141-5917
Phone (314) 561-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241029003138 MO Practitioner - Clinical Social Worker 9537692504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Mindfulness and CBT LLCGroup PAC ID 9032492111, 8 clinicians

Practice addresses (Care Compare)

967 Gardenview Office Pkwy
Saint Louis, MO 63141-5917
Phone (314) 561-9757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024042660MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Oct 21, 2024 Accepting new patients
Compass Health, Inc CurrentSince Oct 21, 2024 Accepting new patients
The Center for Mindfulness and CBT, LLC CurrentSince May 1, 2025 Accepting new patients
The Center for Mindfulness and CBT, LLC PastSince May 1, 2025 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

967 Gardenview Office Pkwy
Saint Louis, MO 63141
Phone (314) 561-9757

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1730873134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 GARDENVIEW OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415917",
            "telephone_number": "314-561-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 GARDENVIEW OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415917",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MADISON",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024042660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.