IndividualActive
Jeremy Potter, LICSW
NPI 1023242534 · Mental Health Counselor · Marlborough, MA
Provider details
- NPI number
- 1023242534
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 114179 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
340 Maple St
4th Floor
Marlborough, MA 01752-3200
Phone: (508) 485-9300
Street-level locationGet directions
Mailing address
17 Saxon Rd
Worcester, MA 01602-1521
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.