| Daniel E Novak, Phd, Lcsw | |
|
5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 | |
| (208) 794-0048 | |
| (503) 715-4561 |
| Full Name | Daniel E Novak, Phd, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 5 Centerpointe Dr Ste 400, Lake Oswego, Oregon |
| Authorized Official Name and Position | Daniel Eli Novak (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2087940048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E Novak, Phd, Lcsw 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (208) 794-0048 | Daniel E Novak, Phd, Lcsw 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (208) 794-0048 |
| NPI Number | 1336809128 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 08/08/2022 |
| Certification Date | 01/15/2022 |
| Medicare PECOS PAC ID | 1658764998 |
|---|---|
| Medicare Enrollment ID | O20220208002837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336809128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Eli Novak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780663724 PECOS PAC ID: 3375708233 Enrollment ID: I20220208002820 |
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