Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Potter, LICSW

Individual provider Mental Health Counselor · NPI 1023242534

Jeremy Potter, LICSW is a Mental Health Counselor in Marlborough, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

340 Maple St 4th Fl
Marlborough, MA 01752-3200 Not confirmed with CMS for 17 years — call before visiting
Phone: (508) 485-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 114179 (MA)

Record details

NPI number1023242534
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 12, 2009
Last updated in NPPESMay 12, 2009

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