Individual provider Active NPI

Rachel Woodbury Novak, LICSW

  • Clinical Social Worker
  • Kingston, MA
National Provider Identifier
1821045113
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112164 Issued in MA
Practice address
111 South St
Kingston, MA 02364-1847
Phone
(508) 566-3308
Fax
(781) 582-1830
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 112164 MA Primary

Addresses

Primary practice location

111 South St
Kingston, MA 02364-1847

Mailing address

111 South St
Kingston, MA 02364-1847
Phone (508) 566-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060324000318 MA Practitioner - Clinical Social Worker 8729096227 Practice locations: Duxbury, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821045113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641847",
            "telephone_number": "508-566-3308",
            "fax_number": "781-582-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641847",
            "telephone_number": "508-566-3308",
            "fax_number": "781-582-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "RACHEL",
        "middle_name": "WOODBURY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.