Organization Active NPI

S Novak Counseling, LLC

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1144760588
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05376200 Issued in NJ
Legal business name
S NOVAK COUNSELING, LLC
Practice address
35 Beaverson Blvd
Suite 4D
Brick, NJ 08723-7812
Phone
(732) 491-9820
NPI assigned
Mar 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Authorized official

Name
Mrs. Stacy Lauren Novak, LCSW
Title
Owner/Psychotherapist
Phone
(732) 491-9820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05376200 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd
Suite 4D
Brick, NJ 08723-7812

Mailing address

35 Beaverson Blvd
Suite 4D
Brick, NJ 08723-7812
Phone (732) 491-9820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488672000000",
    "number": "1144760588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 4D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-491-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 4D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-491-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S NOVAK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-491-9820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05376200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.