Individual provider Active NPI

Elizabeth A Novak, L.C.S.W.

  • Clinical Social Worker
  • Chesterfield, VA
National Provider Identifier
1689698672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005770 Issued in VA
Practice address
10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone
(804) 751-8644
Fax
(804) 751-0648
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904005770 VA Primary

Addresses

Primary practice location

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501

Mailing address

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone (804) 751-8644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050624000731 VA Practitioner - Clinical Social Worker 5193760692 Practice locations: Chesterfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone 8047518644108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Familywork PLC Clinical PastSince Feb 1, 2007 Accepting new patients
The Meridian Group of Chesterfield PastSince Nov 21, 2022 Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689698672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-751-8644",
            "fax_number": "804-751-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-751-8644",
            "fax_number": "804-751-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.