Individual provider Active NPI

Crystal Marie Painter, LICSW, MLADC

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1891559449
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5249 Issued in NH
Practice address
700 Lake Ave
Manchester, NH 03103-2734
Phone
(603) 263-9489
Fax
(603) 621-4293
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5249 NH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1511 NH

Addresses

Primary practice location

700 Lake Ave
Manchester, NH 03103-2734

Mailing address

700 Lake Ave
Manchester, NH 03103-2734
Phone (603) 263-9489

Other practice location 1

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240729003893 NH Practitioner - Mental Health Counselor 7719424506 Reassigns benefits to 1 organization
I20260114002781 NH Practitioner - Clinical Social Worker 7719424506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

15 Nelson St
FL 2
Manchester, NH 03103-2706
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5249NHMDClinical Social Worker
1511NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Addiction (Substance Use Disorder) CurrentSince Dec 9, 2025 Accepting new patients
Fusion Behavioral Care, LLC CurrentSince Sep 4, 2024 Accepting new patients

Locations

280 Pleasant St
Ste 1
Concord, NH 03301
Phone (603) 226-9800

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

15 Nelson St
Ste 2
Manchester, NH 03103
Phone (603) 624-8491

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1891559449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-263-9489",
            "fax_number": "603-621-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-263-9489",
            "fax_number": "603-621-4293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elliot Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033502",
            "country_code": "US",
            "telephone_number": "603-669-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "LICSW, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5249",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.