Individual provider Active NPI

Hannah Novak, LCSW

  • Clinical Social Worker
  • Atlantic Highlands, NJ
National Provider Identifier
1356027932
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06207400 Issued in NJ
Practice address
9 Bayside Dr
Atlantic Highlands, NJ 07716-1734
Phone
(908) 566-5882
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 44SC06207400 NJ Primary

Addresses

Primary practice location

9 Bayside Dr
Atlantic Highlands, NJ 07716-1734

Mailing address

10 Evergreen CT
Hillsborough, NJ 08844-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06207400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey Clinical CurrentSince Nov 14, 2024 Accepting new patients

Locations

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1356027932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EVERGREEN CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BAYSIDE DR",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161734",
            "telephone_number": "908-566-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06207400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

Verify at the official NPI Registry.