Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Woodbridge Potter, MA

Individual provider Clinical Social Worker · NPI 1174659726

Frederick Woodbridge Potter, MA is a Mental Health Counselor in Tampa, Florida. Qualified in 2012, 14 years ago. Practices with Thriveworks Clinical - Florida Inc, a 88-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

4612 N 56th St
Tampa, FL 33610-7123
Phone: (813) 753-9246
Fax: (866) 760-6190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174659726
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thriveworks Clinical - Florida Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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