MS. NICOLE MARIE NOVAK LMSW, CAADC - NPI 1528299658 - Social Worker in Grand Rapids, MI

Q: What is Nicole Novak's NPI number?

The NPI number for Nicole Novak is 1528299658. It was assigned to this individual provider in the NPPES registry on August 6, 2009. The provider is also known as Nicole Marie Kotchka Lmsw.

Q: What is Nicole Novak's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Novak was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Ms. Nicole Marie Novak Lmsw, Caadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE MARIE NOVAK LMSW, CAADC (NPI 1528299658) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801091604) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528299658

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. NICOLE MARIE NOVAKCredential: LMSW, CAADC

Location Address1345 MONROE AVE NW STE 323Grand Rapids, MI 49505-4674

Mailing Address1345 Monroe Ave Nw Ste 323Grand Rapids, MI 49505-4674 · (616) 648-4407

Phone(616) 648-4407

Fax(616) 608-4657

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 6, 2009

Last NPPES UpdateApril 23, 20254 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1528299658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801091604

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1345 MONROE AVE NW STE 323, Grand Rapids, MI 49505

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Other Names 1

Former Name (1)Nicole Marie Kotchka Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Nicole Marie Novak Lmsw, Caadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173880119

PECOS Enrollment IDI20171130000828

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN MARIE KUMOR

Nurse Practitioner (Psychiatric/Mental Health)