Seryn Rachel Potter · Clinical Social Worker

629 Vanderbilt St, Brooklyn, NY 11218-1257

Overview

Seryn Rachel Potter is a Clinical Social Worker practicing in Brooklyn, New York. The National Provider Identifier (NPI) is #1275403891, which was assigned on November 8, 2025, and the registration record was last updated on November 8, 2025. The practitioner's main practice location is at 629 Vanderbilt St, Brooklyn, NY 11218-1257; the contact telephone number is 6465356821. The primary taxonomy of Seryn Rachel Potter is Clinical Social Worker (1041C0700X), with specialization in Clinical. Seryn Rachel Potter is licensed to practice in the state of New York (#124351).

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Provider Information

NPI 1275403891
Entity Type Individual
Provider Name SERYN RACHEL POTTER
Gender Female
Credential LMSW
Practice Address 629 Vanderbilt St
Brooklyn
NY 11218-1257
Practice Telephone 6465356821
Mailing Address 629 Vanderbilt St
Brooklyn
NY 11218-1257
Mailing Telephone 6465356821
Certification Date 2025-11-08
Enumeration Date 2025-11-08
Last Update Date 2025-11-08
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical124351NY

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers with the same taxonomy

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Resilient Restoration LLC 11789 Fantasia Ct, San Diego, CA 92131-3814Clinical Social Worker2026-04-11
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The Life Center Complex, Inc 750 E Delaware Ave, Newark, DE 19711-7185Clinical Social Worker2026-04-11
Joyful Journeys Wellness Center 13087 E 11 Mile Rd, Warren, MI 48088-4795Clinical Social Worker2026-04-11
Joelle Koncelik Silva 4615 Gentle Springs Dr, Arlington, TX 76001-7612Clinical Social Worker2026-04-11
Lynne Caren Rossler 12421 Cascades Pointe Dr, Boca Raton, FL 33428-4854Clinical Social Worker2026-04-11
Ahmad Fahim Aalemi 2807 La Quinta Dr Apt 704, Sacramento, CA 95826-3480Clinical Social Worker2026-04-11
Victoria L Oothoudt 200 Ne 54th St Ste 205, Kansas City, MO 64118-4389Clinical Social Worker2026-04-11
The Life Center Complex, Inc. 1901 S College Ave, Newark, DE 19702-2377Clinical Social Worker2026-04-11
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Location Information

Street Address 629 VANDERBILT ST
City BROOKLYN
State NY
Zip Code 11218-1257
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Heron Language LLC 101 Ocean Parkway, 1h, Brooklyn, NY 11218Interpreter2026-01-02
Chanie R Tenenbaum Yeled V Yalda 1312 38th Street, Brooklyn, NY 11218Specialist2025-07-29
Chana Raizel Abramowitz Yeled Vyalda 1312 38th Street, Brooklyn, NY 11218Specialist2026-02-04
Esther Mandel 1312 38th Street, Brooklyn, NY 11218Specialist2025-12-26
Feige Rachel Grussgott 1312-38 Street, Brooklyn, NY 11218Behavioral Analyst2020-05-27
Awrnss LLC 1718 11th Ave, Brooklyn, NY 11218-1109Mental Health Counselor2025-09-10
Womens League Community Residence 4022 12th Ave, Brooklyn, NY 11218-1907Intellectual Disabilities Intermediate Care Facility2007-05-15
Abu Shoyeb 1000 Church Ave, Brooklyn, NY 11218Internal Medicine Physician2015-03-30
Benedict Mucaria 107 Prospect Park Sw (Closed), Brooklyn, NY 11218-1228Podiatrist2012-02-07
Hadara Liba Norowitz 522 East 9th, Brooklyn, NY 11218Physician Assistant2022-09-14
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Rachel Potter 2615 Fairway St, Dickinson, ND 58601-2590Student in an Organized Health Care Education/Training Program2022-05-19
Rachel Lauren Odehnal · Rachel Lauren Potter 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003Registered Nurse2025-12-01
Ann Potter 1102 Winkler Ave, Killeen, TX 76542-6249Speech-Language Pathologist2022-08-12
Amy Potter 5401 South St, Lincoln, NE 68506-2150Speech-Language Pathologist2026-03-25
Karolyn Potter 421 Walnut St, Farmington, MN 55024-1344Speech-Language Pathologist2026-02-24
Jennifer Potter 3540 Lexington Ave, El Monte, CA 91731-2608School Counselor2026-01-07
Rachel A Potter · Rachel A Struve 5200 Douglas Dr N, Crystal, MN 55429-3104Clinical Social Worker2026-01-14
Charles Potter 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205Mental Health Counselor2016-05-09
Sandra Kay Potter · Sandy Potter 1146 Narcisco St Ne, Albuquerque, NM 87112-6663Clinical Social Worker2007-04-17
Rachel Potter 1420 W 22nd St Ste 201, Sioux Falls, SD 57105-1507Physician Assistant2018-08-20

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.