Paul G Potter is a Clinical in Bowling Green, Kentucky. Paul G Potter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul G Potter is 1528196748. The last update date is 2018-08-09.
Paul G Potter's current location address is 380 Suwannee Trail St, Bowling Green, Kentucky. You can contact this provider via phone number 2709015000 and fax number 2708425268. The mailing address for Paul G Potter is 380 Suwannee Trail St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul G Potter |
|---|---|
| Address | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528196748 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2018-08-09 |
Provider Mailing Address Detail
| Address | 380 Suwannee Trail St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421037956 |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 253002 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30604011 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul G Potter by the Centers for Medicare & Medicaid Services?
The Paul G Potter has been issued the NPI (National Provider Identifier) 1528196748, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Paul G Potter is geographically located?
The Paul G Potter is physically situated at the following location: 380 Suwannee Trail St, Bowling Green, KY, 421037956.
What is the Paul G Potter's specialty and taxonomy code?
The Paul G Potter's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Paul G Potter receive its 1528196748 assignment from the Centers for Medicare & Medicaid Services?
The Paul G Potter was assigned its 1528196748 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the Paul G Potter's details last updated?
The information pertaining to the Paul G Potter, including its address, specialty, and other details, was most recently updated on 2018-08-09.
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