Individual provider Active NPI

Michelle Sarah Paradise, MSW

  • Clinical Social Worker
  • Rochester, NH
National Provider Identifier
1538375324
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1736 Issued in NH
Practice address
163 Rochester Hill Rd
Rochester, NH 03867-1728
Phone
(603) 332-0238
Fax
(603) 332-7098
NPI assigned
May 16, 2007
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1736 NH Primary

Addresses

Primary practice location

163 Rochester Hill Rd
Rochester, NH 03867-1728

Mailing address

163 Rochester Hill Rd
Rochester, NH 03867-1728
Phone (603) 332-0238

Other names 1

  • Michelle Sarah Pergamo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eating Disorders Management PastSince Apr 4, 2021 Accepting new patients

Organizations & group practices 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1538375324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038671728",
            "telephone_number": "603-332-0238",
            "fax_number": "603-332-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038671728",
            "telephone_number": "603-332-0238",
            "fax_number": "603-332-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "MICHELLE",
        "middle_name": "SARAH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PERGAMO",
            "middle_name": "SARAH",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.