Organization Active NPI

Michelle Atallah LCSW, P.C.

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1376130690
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHELLE ATALLAH LCSW, P.C.
Practice address
1416 Sweet Home Rd Ste 1
Amherst, NY 14228-2786
Phone
(716) 249-1483
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Atallah, LCSWNPI 1639540347
Title
Owner
Phone
(716) 602-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1416 Sweet Home Rd Ste 1
Amherst, NY 14228-2786

Mailing address

64 Sweethaven CT
Amherst, NY 14228-1881
Phone (716) 602-2751

Other identifiers 1

IdentifierTypeStateIssuer
05618786MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223000852 NY Part B Supplier - Clinic/Group Practice 7012402449 Receives reassigned benefits from 1 practitioner
Practice locations: Getzville, NY

National Provider Directory

National Provider Directory

Locations

2206 Millersport Hwy
Getzville, NY 14068
Phone (716) 249-1483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1376130690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SWEETHAVEN CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281881",
            "telephone_number": "716-602-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SWEET HOME RD STE 1",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282786",
            "telephone_number": "716-249-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE ATALLAH LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-602-2751",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05618786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.