Individual provider · Type 1 NPI

Sam Ezra Potter, ASW

Clinical Social Worker · Chula Vista, CA

NPI number 1396376109 Active

Practice location

251 Landis Ave
Chula Vista, CA 91910-2628

Call (619) 515-2500 Map

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X124719 (CA)

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 1396376109

Sam Ezra Potter, ASW's National Provider Identifier is 1396376109, issued on Jan 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chula Vista, CA. The record was last updated on Nov 20, 2024.