Donna Marie Potter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003465 Issued in NC

Practice address

411 W Chapel Hill St Ste 908
Durham, NC 27701-3616

Phone

(919) 419-3474

Fax

(919) 419-9353

NPI assigned

Feb 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Child and Parent Support Services

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1902940224

  Clinical

  NPD (past)
• Duke University

  • Child & Adolescent Psychiatry Physician
  • Durham, NC
  • NPI 1215070826
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922149251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W CHAPEL HILL ST STE 908",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013616",
            "telephone_number": "919-419-3474",
            "fax_number": "919-419-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W CHAPEL HILL ST STE 908",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013616",
            "telephone_number": "919-419-3474",
            "fax_number": "919-419-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Stephen Poth, M.D.
• Emily Potosky, MS, RD, LDN, CNSC
• Potter Counseling & Consulting, PLLC
• Carl Lewis Potter III, LCSW
• Dale Potter
• Erik D. Potter, LPC
• Guy Potter, M.D.
• Kimberly Elizabeth Potter, NP
• Lori Bates Potter, MA, LPC
• Nicholas Daniel Potter, DPT, ATC

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.