Individual provider Active NPI

Kari N Novak, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1619213220
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015190 Issued in IL
Practice address
2350 Washtenaw Ave Ste 4
Ann Arbor, MI 48104-4525
Phone
(810) 338-4455
Fax
(517) 920-4702
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 149015190 IL Primary

Addresses

Primary practice location

2350 Washtenaw Ave Ste 4
Ann Arbor, MI 48104-4525

Mailing address

2350 Washtenaw Ave Ste 6a
Ann Arbor, MI 48104-4532
Phone (810) 338-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023001823 MI Practitioner - Clinical Social Worker 7618119728 Practice locations: Adrian, MI; Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2350 Washtenaw Ave
Suite 6a
Ann Arbor, MI 48104-4532
Phone (810) 338-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149015190ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Counseling and Wellness Clinical CurrentSince Sep 24, 2023 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

2350 Washtenaw Ave
Ste 4
Ann Arbor, MI 48104
Phone (734) 645-8944

2350 Washtenaw Ave
Ste 6A
Ann Arbor, MI 48104
Phone (734) 358-0477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1619213220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 6A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "810-338-4455",
            "fax_number": "810-338-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044525",
            "telephone_number": "810-338-4455",
            "fax_number": "517-920-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KARI",
        "middle_name": "N",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.