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

MS. Kathryn Suzanne Potts

Individual provider Mental Health Counselor · NPI 1558701961

MS. Kathryn Suzanne Potts is a Clinical Social Worker in Moreno Valley, California. Qualified in 2014, 12 years ago. Practices with Thriveworks Clinical - California PC, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

13115 Kentland Ln
Moreno Valley, CA 92553-4283
Phone: (909) 762-2648
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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 LCSW82169 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 62984 (CA)

Record details

NPI number1558701961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2013
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thriveworks Clinical - California Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moreno Valley