Brian Nowack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06113000 Issued in NJ

Practice address

180A Tices LN Ste 202
East Brunswick, NJ 08816-1395

Phone

(732) 354-0050

Fax

(732) 325-0334

NPI assigned

Jun 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Resolution Point Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
  • NPI 1851811863
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1417518952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180A TICES LN STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161395",
            "telephone_number": "732-354-0050",
            "fax_number": "732-325-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180A TICES LN STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161395",
            "telephone_number": "732-354-0050",
            "fax_number": "732-325-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWACK",
        "first_name": "BRIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06113000",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL04987600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Laser Periodontics
• Northern Mecial Center PC
• Norwood Anesthesia. LLC
• John Louis Nosher, MD
• Henry Notardonato, M.D.
• Jason Nudelman, DDS
• Nurtured NJ LLC
• Nutrition Associates of East Brunswick, Inc.
• Allysa O'Connor, BCBA
• Brandon Scott Oberweis, M.D.

• Clinical Social Worker in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.