Active NPIIndividual providerSole proprietor

Ms. Kim Novak, LCSW

Social Worker, Clinical in East Hampton, Connecticut

NPI Number1215916473
Practice location
26 Lakeview St, East Hampton, CT 06424-1200
Fax
860-365-5249
Last updated
January 5, 2016

Kim Novak is a Social Worker, Clinical based in East Hampton, CT. Kim Novak practices in East Hampton, CT and has the professional credentials of LCSW. The NPI Number for Kim Novak is 1215916473 and holds a License No. 005111 (CT). The current practice location address for Kim Novak is 26 Lakeview St, East Hampton, CT 06424-1200 and can be reached out via phone at 860-365-5249 and via fax at 860-365-5249.

Provider Profile Details

NPI Number
1215916473
Provider Name
Kim Novak
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
26 Lakeview St, East Hampton, CT 06424-1200
Phone Number
860-365-5249
Fax Number
860-365-5249
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Kimberly Novak Herrmann, LCSW (Other Name)
Provider Enumeration Date
January 15, 2006
Last Update Date
January 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Lakeview St
East Hampton, CT 06424-1200
Zip
06424-1200
Phone Number
860-365-5249
Fax Number
860-365-5249
East Hampton, CT 06424Get directions →

Provider Business Mailing Address Details

Address
Po Box 298
East Hampton, CT 06424-0298
City
East Hampton
State
CT
Zip
06424-0298
Phone Number
860-365-5249
Fax Number
860-365-5249

License Information

License Number
005111
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kim Novak, LCSW?

The NPI number of Ms. Kim Novak, LCSW is 1215916473. It was assigned on January 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Kim Novak, LCSW?

Ms. Kim Novak, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005111.

Where does Ms. Kim Novak, LCSW practice?

The practice location is 26 Lakeview St, East Hampton, CT 06424-1200. The office can be reached at 860-365-5249 (phone) or 860-365-5249 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215916473 directly on the NPPES registry website.

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