National Provider Identifier

Katherine Potvin

Katherine Potvin is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 358-0512.

NPI 1487404687Rochester, NYClinical Social Worker

Profile Overview

NPI
1487404687
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 22, 2024
Last Updated
March 22, 2024

Practice Location

  • 360 Wellington Ave
  • Rochester, NY 14619-1210

Phone: (585) 358-0512

Mailing Address

  • 55 Staci Ln
  • Webster, NY 14580-2337

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1487404687
Entity Type
Individual
Last Name
Potvin
First Name
Katherine
Mailing Street Address
55 Staci Ln
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2337
Mailing Country
US
Mailing Phone
(585) 309-3338
Practice Street Address
360 Wellington Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1210
Practice Country
US
Practice Phone
(585) 358-0512
Enumeration Date
March 22, 2024
Last Updated
March 22, 2024
Sex
Female
Sole Proprietor
No
Certification Date
March 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)