Ethan Potter, LCSW
NPI 1275188799 · Clinical Social Worker · Springfield, MO
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Potter, LCSW is a Clinical Social Worker provider in Springfield, MO (NPI 1275188799).
Provider details
- NPI number
- 1275188799
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2019-08-02
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Ethan Potter's NPI number?
- Ethan Potter's National Provider Identifier (NPI) is 1275188799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Potter's specialty?
- Ethan Potter is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ethan Potter located?
- Ethan Potter's practice location on file with NPPES is 1722 S Glenstone Ave Ste H, Springfield, MO 65804-1513.
- What is Ethan Potter's phone number?
- The practice phone number listed in the NPPES registry for Ethan Potter is (417) 224-7806.
- Does Ethan Potter accept Medicare?
- Ethan Potter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Potter's NPI active?
- Yes — Ethan Potter's NPI (1275188799) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.