Individual
MRS. ANNA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
23425 COMMERCE PARK, SUITE 104, BEACHWOOD, OH 44122-5848
(216) 831-2900
(216) 831-4306
Mailing address
23425 COMMERCE PARK, SUITE 104, BEACHWOOD, OH 44122-5848
(216) 831-2900
(216) 831-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I-0009598
OH
1041C0700X
Clinical Social Worker
Primary
I.0009598
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337047
ANTHEM BC & BS
OH
01
—
725592000
MAGELLAN
OH
Enumeration date
09/24/2006
Last updated
11/07/2013
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