Kelly Mae Nowak
Case Manager/Care Coordinator in Salem, OR. Individual provider (NPI-1).
NPI number1669955209
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1669955209
- Entity type
- Individual (NPI-1)
- Name
- Kelly Mae Nowak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2018
- Last updated
- Jan 15, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1073 Oak St SeSalem, OR 97301-4018
Phone 503-585-4949
Mailing address
4372 Thorman Ave NeKeizer, OR 97303-4652
Phone 775-800-3217
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 365 Case Manager/Care Coordinator providers in Salem · All 8,143 providers in Salem
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