Individual provider Active NPI

Daniel Eli Novak, PHD, MSW, LCSW

  • Clinical Social Worker
  • West Linn, OR
National Provider Identifier
1780663724
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L12878 Issued in OR
Practice address
1800 Blankenship Rd Ste 200
West Linn, OR 97068-4174
Phone
(503) 462-2839
Fax
(503) 715-4561
NPI assigned
Jan 10, 2006
Reactivated
Feb 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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 L12878 OR Primary

Addresses

Primary practice location

1800 Blankenship Rd Ste 200
West Linn, OR 97068-4174

Mailing address

20687 Noble LN
West Linn, OR 97068-7223
Phone (208) 794-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220208002820 OR Practitioner - Clinical Social Worker 3375708233 Reassigns benefits to 2 organizations

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)

1800 Blankenship Rd
Suite 208
West Linn, OR 97068-4251
Phone (503) 462-2839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
L12878ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chayim Counseling LLC Clinical CurrentSince Jan 3, 2022 Accepting new patients
Options Counseling Services of Oregon CurrentSince Apr 11, 2022 Accepting new patients

Locations

12901 SE 97th Ave
Ste 340
Clackamas, OR 97015
Phone (503) 655-6806

360 E 10th Ave
Ste 450
Eugene, OR 97401

5 Centerpointe Dr
Ste 400
Lake Oswego, OR 97035
Phone (503) 784-3489

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

2645 Portland Rd NE
Ste 120
Salem, OR 97301

1800 Blankenship Rd
Ste 208
West Linn, OR 97068

1800 Blankenship Rd
Ste 200
West Linn, OR 97068
Phone (971) 350-8776

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1780663724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20687 NOBLE LN",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687223",
            "telephone_number": "208-794-0048",
            "fax_number": "503-715-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684174",
            "telephone_number": "503-462-2839",
            "fax_number": "503-715-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "DANIEL",
        "middle_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "deactivation_date": "2022-01-14",
        "reactivation_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.