Active NPI
Loretta L Potter, LCSW
- Clinical Social Worker
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 259652
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 259652 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Psychiatry Associates LLC | Current | Accepting new patients | |
| Barnett Counseling, Inc. | Clinical | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.