Individual provider Active NPI

Joanna Novac, LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1881178945
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22601 Issued in CA
Practice address
1400 Quail St Ste 210
Newport Beach, CA 92660-2761
Phone
(949) 677-9147
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 22601 CA Primary

Addresses

Primary practice location

1400 Quail St Ste 210
Newport Beach, CA 92660-2761

Mailing address

1400 Quail St Ste 210
Newport Beach, CA 92660-2761
Phone (949) 677-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1881178945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602761",
            "telephone_number": "949-677-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602761",
            "telephone_number": "949-677-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAC",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.