Individual provider Active NPI

Melissa A Novak, MSW, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1861609158
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3121 Issued in KY
Practice address
1941 Bishop LN Ste 1019
Louisville, KY 40218-1928
Phone
(502) 457-8820
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 3121 KY Primary

Addresses

Primary practice location

1941 Bishop LN Ste 1019
Louisville, KY 40218-1928

Mailing address

1941 Bishop LN Ste 1019
Louisville, KY 40218-1928
Phone (502) 457-8820

Other practice location 1

1951 Bishop Ln
Suite 204/206
Louisville, KY 40218-1930
Phone (502) 479-4433

Other practice location 2

1941 Bishop Ln Ste 1941
Louisville, KY 40218-1922
Phone (502) 457-8820

Other identifiers 2

IdentifierTypeStateIssuer
7100235690MedicaidKY
K064012OtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20121106000380 KY Practitioner - Clinical Social Worker 9234380957 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartwood Therapy Place LLCGroup PAC ID 1052725405, 5 clinicians

Practice addresses (Care Compare)

1941 Bishop LN
Suite 1019
Louisville, KY 40218-1928
Phone (502) 851-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwood Therapy Place LLC Social Worker CurrentSince Dec 1, 2020 Accepting new patients

Locations

1941 Bishop Ln
Ste 1019
Louisville, KY 40218
Phone (502) 369-1046

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1861609158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 1019",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181928",
            "telephone_number": "502-457-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 1019",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181928",
            "telephone_number": "502-457-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Bishop Ln",
            "address_2": "Suite 204/206",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402181930",
            "country_code": "US",
            "telephone_number": "502-479-4433",
            "fax_number": "502-451-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Bishop Ln Ste 1941",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402181922",
            "country_code": "US",
            "telephone_number": "502-457-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100235690",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K064012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.