Provider Demographics
NPI:1912773433
Name:NOVO, DANI (LMSW)
Entity Type:Individual
Prefix:
First Name:DANI
Middle Name:
Last Name:NOVO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 METCALF AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3870
Mailing Address - Country:US
Mailing Address - Phone:913-295-4195
Mailing Address - Fax:
Practice Address - Street 1:8100 MARTY ST STE 100A
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3737
Practice Address - Country:US
Practice Address - Phone:913-295-4195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS132341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical