Potter, Neisha

Potter, Neisha is an individual health care provider with primary practice located at 1120 Beck Ave , Cody WY 82414-3624. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potter, Neisha can be contacted via phone (307) 578-7601.

Contact Information

Primary practice address
1120 Beck Ave Cody WY 82414-3624
Phone: (307) 578-7601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-1090 Wyoming

Profile Details

NPI number 1275997470
LBN Legal business name Potter, Neisha
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2016
Last updated Jun 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275997470 NPPES
Wyoming MEDICAID 143514100

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