Heather D Potokar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30832403501 Issued in UT

Practice address

189 S State St Ste 230
Clearfield, UT 84015-1001

Phone

(801) 589-0819

Fax

(866) 722-2081

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Utah Counseling Services

  • Community/Behavioral Health Agency
  • Clearfield, UT
  • NPI 1902239379
  NPD (past) Authorized official
• Hospice for Utah Inc.

  • Community Based Hospice Care Agency
  • Murray, UT
  • NPI 1013900661
  NPD (past)
• Palliative Care for Utah LLC

  • In Home Supportive Care Agency
  • Murray, UT
  • NPI 1932633997
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1760788491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 S STATE ST STE 230",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151001",
            "telephone_number": "801-589-0819",
            "fax_number": "667-222-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 S STATE ST STE 230",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151001",
            "telephone_number": "801-589-0819",
            "fax_number": "866-722-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5742 Adams Ave Pkwy",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844057157",
            "country_code": "US",
            "telephone_number": "801-621-6642",
            "fax_number": "801-621-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTOKAR",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "30832403501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Monica Piersanti, RN
• Siena Podgorny, OT
• Kendra Noel Poorman, LMT
• Jennie Lynne Porter, N.D.
• Melinda Porter
• Jennifer Poulos, LCSW, LSUDC
• Premier Health Care Services, L.C.
• Psych Matter PLLC
• Pure Life Counseling, LLC
• Pure Sky

• Clinical Social Worker in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.