Provider Demographics
NPI:1831985316
Name:POTTER, BRITTNEY (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:POTTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 OLD EPPS BRIDGE RD APT 7
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3386
Mailing Address - Country:US
Mailing Address - Phone:678-654-2096
Mailing Address - Fax:
Practice Address - Street 1:393 OLD EPPS BRIDGE RD APT 7
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3386
Practice Address - Country:US
Practice Address - Phone:678-654-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0091111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical