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

Individual provider Clinical Social Worker · NPI 1598249658

MS. Maryann J Pottanat, LICSW is a Clinical Social Worker in Hicksville, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

85 Linden Blvd
Hicksville, NY 11801-5938
Phone: (617) 501-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 Whitewood Dr, Massapequa Park, NY 11762-3931 — (617) 501-2801

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113607 (MA)

Record details

NPI number1598249658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018

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