Individual provider Active NPI

Victoria A Potente, LCSW

  • Clinical Social Worker
  • Edgewater Park, NJ
National Provider Identifier
1972280923
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026717 Issued in PA
Practice address
25 F Capella St
Edgewater Park, NJ 08010-1756
Phone
(267) 444-5827
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 CW026717 PA Primary

Addresses

Primary practice location

25 F Capella St
Edgewater Park, NJ 08010-1756

Mailing address

25 F Capella St
Edgewater Park, NJ 08010-1756
Phone (267) 444-5827

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW026717PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Mental Heath, LLC Clinical CurrentSince Nov 18, 2025 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1972280923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 F CAPELLA ST",
            "city": "EDGEWATER PARK",
            "state": "NJ",
            "postal_code": "080101756",
            "telephone_number": "267-444-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 F CAPELLA ST",
            "city": "EDGEWATER PARK",
            "state": "NJ",
            "postal_code": "080101756",
            "telephone_number": "267-444-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENTE",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.