Individual provider Active NPI

Michelle Allen

  • Clinical Social Worker
  • Derry, NH
National Provider Identifier
1922587278
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2963 Issued in NH
Practice address
10 Tsienneto Rd
Derry, NH 03038-1505
Phone
(603) 434-1577
NPI assigned
Aug 8, 2018
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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 2963 NH Primary

Addresses

Primary practice location

10 Tsienneto Rd
Derry, NH 03038-1505

Mailing address

213 North Rd
Sandown, NH 03873-2068
Phone (603) 505-6987

Other practice location 1

835 Hanover St Ste 305
Manchester, NH 03104-5401
Phone (603) 784-9012

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
I20260403000159 NH Practitioner - Clinical Social Worker 5496230898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Behavioral Health Services LLCGroup PAC ID 8729528468, 8 clinicians

Practice addresses (Care Compare)

835 Hanover St
Suite 305
Manchester, NH 03104-5401
Phone (603) 784-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2963NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Behavioral Health Services LLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

835 Hanover St
Ste 305
Manchester, NH 03104
Phone (603) 770-6783

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1922587278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NORTH RD",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732068",
            "telephone_number": "603-505-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381505",
            "telephone_number": "603-434-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Hanover St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031045401",
            "country_code": "US",
            "telephone_number": "603-784-9012",
            "fax_number": "603-784-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.