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

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: July 26, 2026.

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

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
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

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.

Nurse Practitioner
251 LANDIS AVE
CHULA VISTA, CA 91910
Physical Therapist (Orthopedic)
251 LANDIS AVE
CHULA VISTA, CA 91910
Chiropractor (Neurology)
251 LANDIS AVE
CHULA VISTA, CA 91910
Nurse Practitioner (Pediatrics)
251 LANDIS AVE
CHULA VISTA, CA 91910
Dietitian, Registered
251 LANDIS AVE
CHULA VISTA, CA 91910
Nurse Practitioner (Family)
251 LANDIS AVE
CHULA VISTA, CA 91910
Family Medicine
251 LANDIS AVE
CHULA VISTA, CA 91910
Occupational Therapist (Neurorehabilitation)
251 LANDIS AVE, SUITE 201
CHULA VISTA, CA 91910

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 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.

Where is Sam Potter located?

Sam Potter practices at 251 Landis Ave, Chula Vista, CA 91910. The listed phone number is (619) 515-2500.

What is Sam 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 Sam Potter was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.