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MR. TROY EDWARD POTTER LICSW
NPI 1255186102
Social Worker - Clinical in Duluth, MN

Active since April 23, 2024PECOS EnrolledAccepts Medicare Assignment
530 E 2ND ST, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Troy Edward Potter Licsw NPPES

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

MR. TROY EDWARD POTTER LICSW (NPI 1255186102) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (29638) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255186102
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TROY EDWARD POTTERCredential: LICSW
Location Address530 E 2ND STDuluth, MN 55805-1913
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1255186102 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 MN · 29638
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.
530 E 2ND ST, Duluth, MN 55805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.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

Mr. Troy Edward Potter Licsw 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 ID749622272
PECOS Enrollment IDI20240529001910
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

JANINE LOUISE MEISTER
Speech-Language Pathologist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
CHARLENE SCHNEIDER DILLON
Occupational Therapist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
KYLE WALTER FREUNDSCHUH PT
Physical Therapist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
RUTH ELAINE OLSON
Psychologist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
AMBER J BICHLER OTR/L
Occupational Therapist (Physical Rehabilitation)
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
MICHELE RAE NICK
Occupational Therapist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360
ERICA LEA SCOTT OTR
Occupational Therapist
530 E 2ND ST, ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER
DULUTH, MN 55805
St. Louis County (218) 786-5360
ELLIE RAE AVALLONE CCC/SLP
Speech-Language Pathologist
530 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 786-5360

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 Troy Potter's NPI number?

The NPI number for Troy Potter is 1255186102. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Troy Potter located?

Troy Potter practices at 530 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is Troy Potter's specialty?

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

Is Troy Potter enrolled in Medicare?

Yes. Troy 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 Troy Potter accept?

Health plans from Security Health Plan list Troy 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.

Is Troy Potter affiliated with any hospitals?

According to CMS data, Troy Potter is affiliated with Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Troy Potter was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.