Individual provider Active NPI

Melissa Berry

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1609454412
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2472 Issued in NH
Practice address
145 Hollis St
Manchester, NH 03101-1235
Phone
(603) 626-9500
Fax
(603) 626-9523
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 2472 NH Primary

Addresses

Primary practice location

145 Hollis St
Manchester, NH 03101-1235

Mailing address

145 Hollis St
Manchester, NH 03101-1235
Phone (603) 626-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • 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
I20210407003065 NH Practitioner - Clinical Social Worker 0042627101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2472NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Health CurrentSince Mar 29, 2021 Accepting new patients
Amoskeag Health CurrentSince Mar 29, 2021 Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients

Locations

20 Elm St
Rm 15
Manchester, NH 03101

1245 Elm St
Manchester, NH 03101
Phone (603) 668-6629

145 Hollis St
Manchester, NH 03101

9 Notre Dame Ave
Rm 104B
Manchester, NH 03102

145 Hollis St
Fl 2
Manchester, NH 03101

1 Crusader Way
Rm 331
Manchester, NH 03103

184 Tarrytown Rd
Manchester, NH 03103
Phone (603) 627-1102

88 McGregor St
Ste 302
Manchester, NH 03102
Phone (603) 622-8800

333 Beech St
Rm Ssc
Manchester, NH 03103

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1609454412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.