SAM EZRA POTTER ASW
NPI 1396376109
Social Worker - Clinical in Chula Vista, CA

Q: What is Sam Potter's NPI number?

The NPI number for Sam Potter is 1396376109. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Sam Potter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sam Potter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since January 30, 2020

251 LANDIS AVE, CHULA VISTA, CA 91910(619) 515-2500 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Nov 13, 2024, Jan 30, 2020 (3 updates tracked since 2020).

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About Sam Ezra Potter Asw NPPES

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

SAM EZRA POTTER ASW (NPI 1396376109) is an individual clinical provider in Chula Vista, California, licensed in California (124719) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1396376109

Entity TypeIndividual

Primary Taxonomy1041C0700X

Provider Legal NameSAM EZRA POTTERCredential: ASW

Location Address251 LANDIS AVEChula Vista, CA 91910-2628

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2500

Sole ProprietorNo

Enumeration DateJanuary 30, 2020

Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1396376109 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 · 124719

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.

251 LANDIS AVE, Chula Vista, CA 91910

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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.

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Nurse Practitioner