KIMBERLY POTTER
NPI 1871809251
Social Worker - Clinical in Bronx, NY

Active since August 24, 2010
1510 WATERS PL, BRONX, NY 10461(718) 409-9450(718) 931-1432 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Potter NPPES

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

KIMBERLY POTTER (NPI 1871809251) is an individual clinical provider in Bronx, New York, licensed in New York (72078905) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1871809251
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY POTTER
Location Address1510 WATERS PLBronx, NY 10461-2700
Mailing Address1510 Waters PlBronx, NY 10461-2700
Fax(718) 931-1432
Sole ProprietorNo
Enumeration DateAugust 24, 2010
NPI 1871809251 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 NY · 72078905
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.
1510 WATERS PL, Bronx, NY 10461

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.

Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Marriage & Family Therapist
1510 WATERS PL
BRONX, NY 10461
Registered Nurse (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Case Management
1510 WATERS PL
BRONX, NY 10461
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461

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 Kimberly Potter's NPI number?

The NPI number for Kimberly Potter is 1871809251. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Kimberly Potter located?

Kimberly Potter practices at 1510 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 409-9450.

What is Kimberly 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 Kimberly Potter was last updated on August 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.