Individual provider Active NPI

Jenifer Aleida Hardee, LCSW

  • Clinical Social Worker
  • Lutz, FL
National Provider Identifier
1043037864
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23593 Issued in FL
Practice address
20007 Stone Pine Cir
Lutz, FL 33558-4401
Phone
(863) 738-9818
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW23593 FL Primary

Addresses

Primary practice location

20007 Stone Pine Cir
Lutz, FL 33558-4401

Mailing address

20007 Stone Pine Cir
Lutz, FL 33558-4401
Phone (863) 738-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116003029 FL Practitioner - Clinical Social Worker 6901334051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23593FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wishes to Wellness PLLC Current Accepting new patients
Crosswalk Solutions LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 2, 2025 Accepting new patients

Locations

1158 Bell Shoals Rd
Ste 102
Brandon, FL 33511
Phone (813) 895-5315

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

322 W Bearss Ave
Tampa, FL 33613
Phone (813) 505-1949

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1043037864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20007 STONE PINE CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584401",
            "telephone_number": "863-738-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20007 STONE PINE CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584401",
            "telephone_number": "863-738-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "JENIFER",
        "middle_name": "ALEIDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.