MR. MARK THOMAS POTARACKE LCSW
NPI 1003785122
Social Worker - Clinical in Fayetteville, NC

Active since November 05, 2025
209 TIMBERLAKE DR, FAYETTEVILLE, NC 28314(608) 451-5622 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Thomas Potaracke Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK THOMAS POTARACKE LCSW (NPI 1003785122) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C019093) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1003785122
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK THOMAS POTARACKECredential: LCSW
Location Address209 TIMBERLAKE DRFayetteville, NC 28314-1241
Mailing Address209 Timberlake DrFayetteville, NC 28314-1241 · (608) 451-5622
Sole ProprietorYes
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1003785122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C019093
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
209 TIMBERLAKE DR, Fayetteville, NC 28314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Potaracke's NPI number?

The NPI number for Mark Potaracke is 1003785122. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Mark Potaracke located?

Mark Potaracke practices at 209 Timberlake Dr, Fayetteville, NC 28314. The listed phone number is (608) 451-5622.

What is Mark Potaracke's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mark Potaracke was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.