Potter Counseling and Evaluation Service, CSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POTTER COUNSELING AND EVALUATION SERVICE, CSW, PC

Practice address

523 Ridgebury Rd
Slate Hill, NY 10973-4310

Phone

(845) 355-1092

Fax

(845) 355-6535

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Potter, MSW, LCSWNPI 1285758623

Title

Director

Phone

(845) 355-1092

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Potter, MSW, LCSW

  • Clinical Social Worker
  • Slate Hill, NY
  • NPI 1285758623
  NPD (past) Authorized official
• Carla C Potter, MSSW, LCSW

  • Clinical Social Worker
  • Slate Hill, NY
  • NPI 1639294903
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871618157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 RIDGEBURY RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734310",
            "telephone_number": "845-355-1092",
            "fax_number": "845-355-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 RIDGEBURY RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734310",
            "telephone_number": "845-355-1092",
            "fax_number": "845-355-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTER COUNSELING AND EVALUATION SERVICE, CSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-355-1092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI VALUE OPTIONS",
            "identifier": "7478469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclynn Orobello
• Samantha Paige-Graeber, L.M.T.
• Melissa Pavilack, PHARMD
• Sherin Philip, MD
• Tica Louise Porcoro
• Carla C Potter, MSSW, LCSW
• James Potter, MSW, LCSW
• Anthony Puglisi, DC
• Bonnie Redling
• Jenna Reinhardt, PA-C

• Clinical Social Worker in Slate Hill, NY
• Providers in Slate Hill, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.