Individual provider Active NPI

Michelle Atallah, LCSW

  • Social Worker
  • Amherst, NY
National Provider Identifier
1639540347
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
095924-1 Issued in NY
Practice address
1416 Sweet Home Rd
Amherst, NY 14228-2784
Phone
(716) 249-1483
Fax
(716) 745-7080
NPI assigned
Oct 8, 2015
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095924-1 NY Primary

Addresses

Primary practice location

1416 Sweet Home Rd
Amherst, NY 14228-2784

Mailing address

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

Other practice location 1

908 Niagara Falls Blvd
Suite 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Other names 1

  • Michelle Atallah Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190404002448 NY Practitioner - Clinical Social Worker 6204177058 Reassigns benefits to 1 organization
Practice locations: Amherst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095924-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Atallah LCSW, P.C. CurrentSince Nov 5, 2025 Accepting new patients

Locations

1416 Sweet Home Rd
Ste 1
Buffalo, NY 14228
Phone (716) 235-3750

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

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1639540347",
    "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",
            "fax_number": "716-745-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282784",
            "telephone_number": "716-249-1483",
            "fax_number": "716-745-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Niagara Falls Blvd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "N Tonawanda",
            "state": "NY",
            "postal_code": "141202019",
            "country_code": "US",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2025-06-06",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095924-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ATALLAH",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.