Individual provider Active NPI

Scott Sorenson Novotny, MSW, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1992157341
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
97367 Issued in CA
Practice address
1500 Franklin St
San Francisco, CA 94109-4523
Phone
(415) 474-7310
Fax
(415) 922-9418
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 12293411 CA
Clinical Social Worker 1041C0700X 97367 CA Primary

Addresses

Primary practice location

1500 Franklin St
San Francisco, CA 94109-4523

Mailing address

1500 Franklin St
San Francisco, CA 94109-4523
Phone (415) 474-7310

Other practice location 1

419 Pennsylvania St
Vallejo, CA 94590-6933
Phone (707) 643-2715

Other identifiers 1

IdentifierTypeStateIssuer
12293411OtherCAALCOHOL AND DRUG COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12293411CAMDAddiction (Substance Use Disorder) Counselor
97367CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute Past Accepting new patients

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1992157341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310",
            "fax_number": "415-922-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310",
            "fax_number": "415-922-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Pennsylvania St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945906933",
            "country_code": "US",
            "telephone_number": "707-643-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "SCOTT",
        "middle_name": "SORENSON",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12293411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL AND DRUG COUNSELOR",
            "identifier": "12293411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.