Active NPI
Melissa Beth Novakoff, LICSW
- School Social Worker
- Chelsea, MA
National Provider Identifier
1457835332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 114172
- Practice address
- 285 Commandants Way
Chelsea, MA 02150-4057 - Phone
- (617) 241-3871
- Fax
- (617) 241-7452
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 114172 | MA | Primary |
Addresses
Primary practice location
285 Commandants Way
Chelsea, MA 02150-4057
Mailing address
285 Commandants Way
Chelsea, MA 02150-4057
Phone (617) 241-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 2, 2024 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114172 | MA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1457835332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 COMMANDANTS WAY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504057",
"telephone_number": "617-241-3871",
"fax_number": "617-241-7452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 COMMANDANTS WAY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504057",
"telephone_number": "617-241-3871",
"fax_number": "617-241-7452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAKOFF",
"first_name": "MELISSA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "114172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.