Individual provider Active NPI

Melissa Hayes, LICSW

  • Clinical Social Worker
  • Lebanon, NH
National Provider Identifier
1821476870
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2054 Issued in NH
Practice address
20 W Park St Ste 429
Lebanon, NH 03766-6314
Phone
(802) 243-0215
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 089.0134510 VT
Clinical Social Worker 1041C0700X 2054 NH Primary

Addresses

Primary practice location

20 W Park St Ste 429
Lebanon, NH 03766-6314

Mailing address

448 Dana Rd
North Pomfret, VT 05053-5052
Phone (802) 243-0215

Other practice location 1

167 Summer St
Newport, NH 03773-1281
Phone (603) 863-1951

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.therapynotes.com

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
I20231113003216 NH Practitioner - Clinical Social Worker 0749637734 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0134510VTMDClinical Social Worker
2054NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince May 24, 2025 Accepting new patients
Mill Brook Wellness, PLLC CurrentSince Oct 23, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients

Locations

20 W Park St
Lebanon, NH 03766
Phone (603) 448-1101

20 W Park St
Ste 429
Lebanon, NH 03766
Phone (802) 243-0215

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

20 W Park St
Ste 419
Lebanon, NH 03766

167 Summer St
Newport, NH 03773
Phone (603) 543-6960

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1821476870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 DANA RD",
            "city": "NORTH POMFRET",
            "state": "VT",
            "postal_code": "050535052",
            "telephone_number": "802-243-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W PARK ST STE 429",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666314",
            "telephone_number": "802-243-0215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Summer St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NH",
            "postal_code": "037731281",
            "country_code": "US",
            "telephone_number": "603-863-1951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MELISSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "address_1": "20 W Park St",
            "city": "Lebanon",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037661378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.