Individual provider Active NPI

Michelle Greenwood

  • Clinical Social Worker
  • Wolfeboro, NH
National Provider Identifier
1396470977
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4934 Issued in NH
Practice address
70 Bay St
Wolfeboro, NH 03894-4320
Phone
(603) 569-1884
Fax
(603) 569-1882
NPI assigned
Jul 19, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 4934 NH Primary

Addresses

Primary practice location

70 Bay St
Wolfeboro, NH 03894-4320

Mailing address

626 Eastman Rd Ste a
Center Conway, NH 03813-4219
Phone (603) 447-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602000826 NH Practitioner - Clinical Social Worker 4587173638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4934NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Human Services CurrentSince Apr 23, 2025 Accepting new patients
Brennan Family Wellness LLC Clinical Current Accepting new patients

Locations

25 W Main St
Conway, NH 03818
Phone (603) 356-2032

87 Washington St
Conway, NH 03818
Phone (603) 447-3347

70 Bay St
Wolfeboro, NH 03894
Phone (603) 569-1884

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1396470977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 EASTMAN RD STE A",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134219",
            "telephone_number": "603-447-3347",
            "fax_number": "603-447-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BAY ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944320",
            "telephone_number": "603-569-1884",
            "fax_number": "603-569-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.