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

Individual provider Clinical Social Worker · NPI 1003785122

Mr. Mark Thomas Potaracke, LCSW is a Clinical Social Worker in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
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

209 Timberlake Dr
Fayetteville, NC 28314-1241
Phone: (608) 451-5622
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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 C019093 (NC)

Record details

NPI number1003785122
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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