Active NPI
Melinda Marie Hardy, MSW,BS,LMSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1023315942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00514
- Practice address
- 141 E Main St
Waterbury Clinical Services 2ND FLR
Waterbury, CT 06702-2310 - Phone
- (203) 756-7287
- Fax
- (203) 596-0722
- NPI assigned
- Feb 14, 2011
- Last updated
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00514 | CT | Primary |
Addresses
Primary practice location
141 E Main St
Waterbury Clinical Services 2ND FLR
Waterbury, CT 06702-2310
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13671435 | Other | CT | CAQH |
| D339209 | Other | CT | VALUE OPTIONS-BEACON HEALTH STRATEGIES |
| NOT ELIGIBLE | Other | CT | MHN MANAGED HEALTH NETWORK |
| 008090421 | Medicaid | CT | |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH |
| NOT ELIGIBLE | Other | CT | MHN-TRICARE NORTH |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH-CONNECTICUT WELLMORE/GRP/FACILITY |
| 060669107 | Other | CT | UBH OXFORD HEALTH FREEDOM/LIBERTY WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00514 | CT | MD | Social Worker |
| 084548 | NY | MD | Social Worker |
| 9422 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embracing Our Journey Counseling, LLC | Current | Accepting new patients | |
| Embracing Our Journey Counseling, LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Embracing Our Journey Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, CT
- NPI 1881340412
-
dba Western Connecticut Mental Health Network
- Adult Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841225489
-
dba Embracing Our Journey Counseling
- Clinical Social Worker
- Bristol, CT
- NPI 1427751700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1023315942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "WATERBURY CLINICAL SERVICES 2ND FLR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-756-7287",
"fax_number": "203-596-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MELINDA",
"middle_name": "MARIE",
"credential": "MSW,BS,LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "00514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13671435",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS-BEACON HEALTH STRATEGIES",
"identifier": "D339209",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008090421",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN-TRICARE NORTH",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-CONNECTICUT WELLMORE/GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH OXFORD HEALTH FREEDOM/LIBERTY WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.