What is Ethan Potter's NPI number?

Ethan Potter's National Provider Identifier (NPI) is 1588489181, 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 Social Worker (Behavioral Health & Social Service Providers).

Where is Ethan Potter located?

Ethan Potter's practice location on file with NPPES is 790 Fuller Ave Ne, Grand Rapids, MI 49503.

What is Ethan Potter's phone number?

The practice phone number listed in the NPPES registry for Ethan Potter is (616) 336-3909.

Is Ethan Potter's NPI active?

Yes — Ethan Potter's NPI (1588489181) is active in the NPPES registry as of the last update on 2024-11-19.

IndividualActive

Ethan Potter, LLMSW

NPI 1588489181 · Social Worker · Grand Rapids, MI

Ethan Potter, LLMSW is a Social Worker provider in Grand Rapids, MI (NPI 1588489181).

Provider details

NPI number: 1588489181
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LLMSW
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

790 Fuller Ave Ne

Grand Rapids, MI 49503

Phone: (616) 336-3909

Street-level locationGet directions

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Mailing address