Darica Potts, LMSW
Individual provider Active NPI Social Worker · Oakville, CT
NPI 1831964667 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1831964667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 8817 (CT)
- Practice address
- 72 Turner Ave
Oakville, CT 06779-1822 - Phone
- (203) 206-4557
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8817 | CT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8817 | CT | Yes |
Addresses
Primary practice location
72 Turner Ave
Oakville, CT 06779-1822
Mailing address
72 Turner Ave
Oakville, CT 06779-1822
Phone (203) 206-4557
NPI Registry JSON
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1831964667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 TURNER AVE",
"city": "OAKVILLE",
"state": "CT",
"postal_code": "067791822",
"telephone_number": "203-206-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 TURNER AVE",
"city": "OAKVILLE",
"state": "CT",
"postal_code": "067791822",
"telephone_number": "203-206-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "DARICA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "8817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakville, CT
- Stephanie Ann Miranda
- Stacia Montague
- Karen Marie Newsome
- John L Pagano
- Arielle Polites
- Primal Mental and Physical Health
- Rosa Maria Ramirez
- Tina Marie Rhodes
- Catherine Risigo-Wickline
- Jonathan H Russell
All providers in Oakville, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.