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

NPI Status: Active since August 06, 2009

Contact Information

1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 648-4407
Fax: (616) 608-4657

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  • Individual
  • Female
  • Years of Experience 17
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICOLE NOVAK

This page provides the complete NPI Profile along with additional information for Nicole Novak, a provider established in Grand Rapids, Michigan with a medical specialization in Social Worker and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1528299658 assigned on August 2009. The practitioner's primary taxonomy code is 104100000X with license number 6801091604 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1528299658
Provider Name
MS. NICOLE MARIE NOVAK LMSW, CAADC
Other Name
NICOLE MARIE KOTCHKA LMSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1345 MONROE AVE NW STE 323 GRAND RAPIDS, MI 49505
Location Phone
(616) 648-4407
Location Fax
(616) 608-4657
Mailing Address
1345 MONROE AVE NW STE 323 GRAND RAPIDS, MI 49505
Mailing Phone
(616) 648-4407
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
08-06-2009
Last Update Date
04-23-2025
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A social worker like Nicole Novak helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
6801091604
License State
MI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicole Novak is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicole Novak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173880119

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171130000828

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. NICOLE MARIE NOVAK LMSW, CAADC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528299658, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 4 + 9 + 1 + 8 + 6 + 1 + 0 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1528299658.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Counselor (Professional)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Counselor (Mental Health)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505
Counselor (Mental Health)
1345 MONROE AVE NW STE 323
GRAND RAPIDS, MI 49505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528299658, enumerated as an "individual" on August 06, 2009.

The provider is located at 1345 MONROE AVE NW STE 323 GRAND RAPIDS, MI 49505 and the phone number is (616) 648-4407.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.