Self Quest Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13968 Issued in FL

Legal business name

SELF QUEST COUNSELING, LLC

Practice address

3959 S Nova Rd Ste B-15
Port Orange, FL 32127-9278

Phone

(386) 566-6632

Fax

(855) 471-0759

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Daniel E Novak, PHD, ACSW, LCSW

Title

Owner/Psychotherapist

Phone

(386) 566-6632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1013468313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-566-6632",
            "fax_number": "855-471-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE B-15",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279278",
            "telephone_number": "386-566-6632",
            "fax_number": "855-471-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF QUEST COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "386-566-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.