Individual provider Active NPI

Loretta L Potter, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1821143280
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259652 Issued in KY
Practice address
558 E 10TH Ave
Bowling Green, KY 42101-2252
Phone
(270) 904-0768
Fax
(270) 904-0655
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 259652 KY Primary

Addresses

Primary practice location

558 E 10TH Ave
Bowling Green, KY 42101-2252

Mailing address

558 E 10TH Ave
Bowling Green, KY 42101-2252
Phone (270) 904-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241106003601 KY Practitioner - Clinical Social Worker 3577529155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Psychiatry Associates, LLC 118 clinicians

Practice addresses (Care Compare)

1048 Ashley St
Suite 201
Bowling Green, KY 42103-2449
Phone (270) 205-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
259652KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Aug 9, 2024 Accepting new patients
Barnett Counseling, Inc. Clinical PastSince Oct 20, 2024 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

1048 Ashley St
Ste 201
Bowling Green, KY 42103
Phone (270) 205-4585

801 Barret Ave
Ste 110
Louisville, KY 40204
Phone (270) 205-4585

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1821143280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012252",
            "telephone_number": "270-904-0768",
            "fax_number": "270-904-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012252",
            "telephone_number": "270-904-0768",
            "fax_number": "270-904-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LORETTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.