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FREDERICK WOODBRIDGE POTTER MA
NPI 1174659726
Social Worker - Clinical in Tampa, FL

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
4612 N 56TH ST, TAMPA, FL 33610(813) 753-9246(866) 760-6190 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Woodbridge Potter Ma NPPES

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

FREDERICK WOODBRIDGE POTTER MA (NPI 1174659726) is an individual clinical provider in Tampa, Florida and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174659726
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameFREDERICK WOODBRIDGE POTTERCredential: MA
Location Address4612 N 56TH STTampa, FL 33610-7123
Mailing Address4612 N 56th StTampa, FL 33610-7123 · (813) 753-9246 · Fax (866) 760-6190
Phone(813) 753-9246
Fax(866) 760-6190
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1174659726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4612 N 56TH ST, Tampa, FL 33610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frederick Woodbridge Potter Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183072531
PECOS Enrollment IDI20231127001596
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA HORTON
Counselor
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 626-7250
AMANDA FINK
Counselor
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 626-7250
AGENCY FOR COMMUNITY TREATMENT SERVICES
Voluntary or Charitable
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 246-4899
SYDNEY ANNE TREADWAY
Counselor
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 626-7250
SONDRA MULLINS
Counselor
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 626-7250
THOMAS MATTHEWS
Counselor
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 246-4899
GEORGE BENJAMIN PERLIN
Social Worker (Clinical)
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 246-4899
LARA JANINE JOYNES-WHIDDEN
Social Worker (Clinical)
4612 N 56TH ST
TAMPA, FL 33610
Hillsborough County (813) 246-4899

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 Frederick Potter's NPI number?

The NPI number for Frederick Potter is 1174659726. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Frederick Potter located?

Frederick Potter practices at 4612 N 56th St, Tampa, FL 33610. The listed phone number is (813) 753-9246.

What is Frederick Potter's specialty?

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

Is Frederick Potter enrolled in Medicare?

Yes. Frederick Potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Frederick Potter accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Frederick Potter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederick Potter was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.