Individual provider · Type 1 NPI

Jacqueline Anai Potter, MHP

Social Worker · Merrionette Park, IL

NPI number 1962336362 Active

Practice location

11560 S Kedzie Ave
Merrionette Park, IL 60803-4517

Mailing address

10621 S Albany Ave
Chicago, IL 60655-2113

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XNone listed

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1962336362

Jacqueline Anai Potter, MHP's National Provider Identifier is 1962336362, issued on Jun 10, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Merrionette Park, IL. The record was last updated on Jun 10, 2026.