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DESTINY LEEANNE POTTEBAUM MSW
NPI 1255032017
Social Worker - Clinical in New Haven, MO

Active since March 16, 2023
917 MILLER ST, NEW HAVEN, MO 63068(636) 357-0937 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Destiny Leeanne Pottebaum Msw NPPES

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

DESTINY LEEANNE POTTEBAUM MSW (NPI 1255032017) is an individual clinical provider in New Haven, Missouri, licensed in Florida (ISW16733) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1255032017
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDESTINY LEEANNE POTTEBAUMCredential: MSW
Location Address917 MILLER STNew Haven, MO 63068-1192
Mailing Address917 Miller StNew Haven, MO 63068-1192 · (636) 357-0937
Phone(636) 357-0937
Sole ProprietorNo
Enumeration DateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
✔ NPI 1255032017 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 FL · ISW16733
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.
917 MILLER ST, New Haven, MO 63068
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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 Destiny Pottebaum's NPI number?

The NPI number for Destiny Pottebaum is 1255032017. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Destiny Pottebaum located?

Destiny Pottebaum practices at 917 Miller St, New Haven, MO 63068. The listed phone number is (636) 357-0937.

What is Destiny Pottebaum'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 Destiny Pottebaum was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.