Sam Ezra Potter, ASW
Sam Ezra Potter, ASW is a Clinical Social Worker in Chula Vista, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
251 Landis AveChula Vista, CA 91910-2628
Phone: (619) 515-2500
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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 124719 (CA) |
|---|
Record details
| NPI number | 1396376109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Credentials | ASW |
| Sole proprietor | No |
| NPI enumerated | January 30, 2020 |
| Last updated in NPPES | November 20, 2024 |
| Certification date | November 20, 2024 |
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