Provider Demographics
NPI:1396548061
Name:NOVAK, ARIEL LORRAINE (LLMSW)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:LORRAINE
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41449 WILCOX RD # D46
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3123
Mailing Address - Country:US
Mailing Address - Phone:734-833-4538
Mailing Address - Fax:
Practice Address - Street 1:4512 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-3514
Practice Address - Country:US
Practice Address - Phone:248-909-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851118488104100000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health