Individual provider Active NPI

Alison Lyndsey Potter, MSW, LICSW

  • Clinical Social Worker
  • Bothell, WA
National Provider Identifier
1982200432
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61326558 Issued in WA
Practice address
22722 29TH Dr SE Ste 100
Bothell, WA 98021-4420
Phone
(714) 420-5520
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 LW61326558 WA Primary

Addresses

Primary practice location

22722 29TH Dr SE Ste 100
Bothell, WA 98021-4420

Mailing address

22722 29TH Dr SE Ste 100
Bothell, WA 98021-4420
Phone (714) 420-5520

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alisonp@seattlechristiancounseling.com Health Information Exchange (HIE)
Direct Messaging Address alison@alisonpotter.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 11, 2024 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61326558WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1982200432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 29TH DR SE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214420",
            "telephone_number": "714-420-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22722 29TH DR SE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214420",
            "telephone_number": "714-420-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ALISON",
        "middle_name": "LYNDSEY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61326558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisonp@seattlechristiancounseling.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10116 Main St Ste 204",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alison@alisonpotter.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "22722 29th Dr SE Ste 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980214420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.