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

Jeremy Potter, LICSW

Individual provider Mental Health Counselor · NPI 1023242534

Jeremy Potter, LICSW is a Mental Health Counselor in Marlborough, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

340 Maple St 4th Fl
Marlborough, MA 01752-3200
Phone: (508) 485-9300
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 114179 (MA)

Record details

NPI number1023242534
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 12, 2009
Last updated in NPPESMay 12, 2009
Mailing address17 Saxon Rd, Worcester, MA 01602-1521

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