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Contact Information

THERESA POTTER, ACSW LCSW
7202 NORTH SHADELAND AVENUE
SUITE 127
INDIANAPOLIS, IN46250
 Phone: 317-849-9646
 Fax: 317-849-9651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for THERESA POTTER · (Female)

NPI # 1215075700
Status Active
Credentials ACSW LCSW
Entity Individual
Enumeration date 02/05/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 34000816A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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