Individual provider · Type 1 NPI

Mark Thomas Potaracke, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1003785122 Active

Practice location

209 Timberlake Dr
Fayetteville, NC 28314-1241

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC019093 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1003785122

Mark Thomas Potaracke, LCSW's National Provider Identifier is 1003785122, issued on Nov 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 5, 2025.