NPPES file of Aug 9, 2026

Ethan Potter, LCSW

Clinical Social Worker · Springfield, MO

Ethan Potter, LCSW is a clinical social worker with a practice address in Springfield, Missouri, and NPI 1275188799, issued on Aug 2, 2019. Check the license (Missouri 2021024924, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275188799
Name
Ethan Potter
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
2021024924 MO
Self-reported in NPPES; status is on the state search
Practice location
1722 S Glenstone Ave Ste H, Springfield, MO 65804
Phone
(417) 224-7806
Enumerated
Aug 2, 2019
Record last updated
Jun 27, 2024
Medicare enrollment
Enrolled (PECOS I20221206003051); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1722 S Glenstone Ave Ste H

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Judy Duerkop, M.S.Mental Health Counselor1124386040
  2. Andrea Gonzales, LPC, MS, NBCCMental Health Counselor1063938256
  3. Cristi Leathers, MA, LPC, NCCProfessional Counselor1508377979
  4. Jeremiah Melton, M.A.Professional Counselor1629272992
  5. Jennifer Parker, MAProfessional Counselor1982997631
  6. Julie Partin, L.C.S.W.Clinical Social Worker1154487767

Verify Ethan Potter in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2021024924
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Ethan Potter among 5,398 clinical social worker records in Missouri

Ethan Potter, LCSW is one of 5,398 clinical social worker records with a practice address in Missouri. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2019, is newer than 64% of them.

  • NPI issued2019 · 64% of these records are older, 32% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 18% of these records are
  • Graduated2019 · median 2010 among the 978 with a school on file
  • Record last updated2024 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

323 clinical social worker records list a practice address in Springfield

They are 323 of the 6,403 NPPES records with a practice address in Springfield, and 5,398 clinical social worker records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Linda Beason, LCSWSpringfield, MO 658041760489355
  2. John Bertsch, MA, LCSWSpringfield, MO 658041447250808
  3. Susan Casady, LCSWSpringfield, MO 658041063507846
  4. Paul Goodwin, LCSWSpringfield, MO 658041376549238
  5. Margaret Goodwin, LCSWSpringfield, MO 658041205922556
  6. Barbara Hicks, LCSWSpringfield, MO 658041376549147
  7. Wanda Holloway, PSYD, LCSW, LPCSpringfield, MO 658041598763088
  8. Paul Leverington, L.C.S.W.Springfield, MO 658041669452827

Common questions

What is Ethan Potter, LCSW's NPI number?

Ethan Potter, LCSW's National Provider Identifier (NPI) is 1275188799, issued on Aug 2, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Potter, LCSW located?

The NPPES record lists a practice address at 1722 S Glenstone Ave Ste H, Springfield, MO, 65804. Phone: (417) 224-7806. Providers update this record themselves, so call before visiting.

How can I verify Ethan Potter, LCSW's license?

NPPES lists Missouri license number 2021024924, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.