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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESTINY LEEANNE POTTEBAUM, MSW

Active

DESTINY LEEANNE POTTEBAUM, MSW is a Clinical Social Worker healthcare provider located in NEW HAVEN, Missouri. NPI 1255032017 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NEW HAVEN, MO

Registration Details

NPI Number
1255032017
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2023 (3.4052554990119 yrs)
Last Updated
Mar 16, 2023
License
ISW16733 (FL)

Practice Information

Address
917 MILLER ST
NEW HAVEN, MO, 630681192
Browse MO providers · Browse ZIP 63068
Phone
6363570937
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in NEW HAVEN, MO

Name Credential NPI
LINDSEY BETH JASPER LCSW 1487832622
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.