JACQUELINE ANAI POTTER MHP
NPI 1962336362
Social Worker in Merrionette Park, IL

Active since June 10, 2026
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803(773) 520-1269 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Anai Potter Mhp NPPES

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

JACQUELINE ANAI POTTER MHP (NPI 1962336362) is an individual social worker in Merrionette Park, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1962336362
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELINE ANAI POTTERCredential: MHP
Location Address11560 S KEDZIE AVEMerrionette Park, IL 60803-4517
Mailing Address10621 S Albany AveChicago, IL 60655-2113 · (708) 573-7835 · Fax (708) 573-7835
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1962336362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

11560 S KEDZIE AVE, Merrionette Park, IL 60803

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.

Behavior Technician
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Case Manager/Care Coordinator
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Peer Specialist
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Social Worker
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Counselor (Mental Health)
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Behavior Technician
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Counselor (Mental Health)
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Behavior Analyst
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803

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 Jacqueline Potter's NPI number?

The NPI number for Jacqueline Potter is 1962336362. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Jacqueline Potter located?

Jacqueline Potter practices at 11560 S Kedzie Ave, Merrionette Park, IL 60803. The listed phone number is (773) 520-1269.

What is Jacqueline Potter's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Potter was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.