JEREMY POTTER LICSW NPI 1023242534

NPI Information

  • NPI: 1023242534
  • Provider Name: JEREMY POTTER, LICSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 340 MAPLE ST
    4TH FLOOR
    MARLBOROUGH, MA
    ZIP 01752
  • Phone: (508) 485-9300

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NPI Details

Jeremy Potter, LICSW is a mental health counselor in Marlborough, MA. Jeremy Potter, LICSW NPI is 1023242534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

340 MAPLE ST
4TH FLOOR
MARLBOROUGH, MA
ZIP 01752-200
Phone: (508) 485-9300

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health114179MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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