Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KIRBY IAN POTTER L.C.S.W.
NPI 1275746950
Social Worker - Clinical in Syracuse, UT

Active since May 08, 2007
1747 HERITAGE LN, SUITE B - 103, SYRACUSE, UT 84075(801) 525-6975(801) 525-6988 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kirby Ian Potter L.c.s.w. NPPES

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

MR. KIRBY IAN POTTER L.C.S.W. (NPI 1275746950) is an individual clinical provider in Syracuse, Utah, licensed in Utah (113382-3501) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1275746950
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KIRBY IAN POTTERCredential: L.C.S.W.
Location Address1747 HERITAGE LN, SUITE B - 103Syracuse, UT 84075-8552
Mailing Address1747 Heritage Ln, Suite B - 103Syracuse, UT 84075-8552 · (801) 525-6975 · Fax (801) 525-6988
Fax(801) 525-6988
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJune 28, 2026
NPI 1275746950 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 UT · 113382-3501
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.

1747 HERITAGE LN, Syracuse, UT 84075

Other Providers at the Same Location NPPES 10

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

Dentist (General Practice)
1747 HERITAGE LN, SUITE B201
SYRACUSE, UT 84075
Dentist (Pediatric Dentistry)
1747 HERITAGE LN, STE B202
SYRACUSE, UT 84075
Social Worker (Clinical)
1747 HERITAGE LN
SYRACUSE, UT 84075
Dentist (Endodontics)
1747 HERITAGE LN
SYRACUSE, UT 84075
Dentist (General Practice)
1747 HERITAGE LN, SUITE A-1
SYRACUSE, UT 84075
Social Worker (Clinical)
1747 HERITAGE LN
SYRACUSE, UT 84075
Social Worker
1747 HERITAGE LN
SYRACUSE, UT 84075
Behavior Technician
1747 HERITAGE LN
SYRACUSE, UT 84075

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 Kirby Potter's NPI number?

The NPI number for Kirby Potter is 1275746950. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Kirby Potter located?

Kirby Potter practices at 1747 Heritage Ln Suite B - 103, Syracuse, UT 84075. The listed phone number is (801) 525-6975.

What is Kirby Potter'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 Kirby Potter was last updated on June 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.