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

Mr. Kirby Ian Potter, LCSW

Individual provider Clinical Social Worker · NPI 1275746950

Mr. Kirby Ian Potter, LCSW is a Clinical Social Worker in Syracuse, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1747 Heritage Ln Ste B - 103
Syracuse, UT 84075-8552
Phone: (801) 525-6975
Fax: (801) 525-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113382-3501 (UT)

Record details

NPI number1275746950
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJune 28, 2026

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