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PHYLLIS POTTER CSW
NPI 1306922687
Social Worker - Clinical in Berkeley, CA

Active since October 28, 2006
1553 SACRAMENTO ST, BERKELEY, CA 94702(510) 295-9605(510) 527-8175 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Potter Csw NPPES

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

PHYLLIS POTTER CSW (NPI 1306922687) is an individual clinical provider in Berkeley, California, licensed in California (5619) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306922687
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS POTTERCredential: CSW
Location Address1553 SACRAMENTO STBerkeley, CA 94702-1206
Mailing Address1553 Sacramento StBerkeley, CA 94702-1206 · (510) 295-9605 · Fax (510) 527-8175
Phone(510) 295-9605
Fax(510) 527-8175
Sole ProprietorYes
Enumeration DateOctober 28, 2006
Last NPPES UpdateDecember 17, 2008
✔ NPI 1306922687 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 CA · 5619
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.
1553 SACRAMENTO ST, Berkeley, CA 94702
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Other Identifiers 1

Medicare PINZZZ06735ZCA

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 Phyllis Potter's NPI number?

The NPI number for Phyllis Potter is 1306922687. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Phyllis Potter located?

Phyllis Potter practices at 1553 Sacramento St, Berkeley, CA 94702. The listed phone number is (510) 295-9605.

What is Phyllis 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 Phyllis Potter was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.