Individual provider Active NPI

Amy Prater Hardin, LCSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1053674176
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3642 Issued in KY
Practice address
2817 Veach Rd
Owensboro, KY 42303-6252
Phone
(270) 240-5312
Fax
(270) 495-4305
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 3642 KY Primary

Addresses

Primary practice location

2817 Veach Rd
Owensboro, KY 42303-6252

Mailing address

2817 Veach Rd
Owensboro, KY 42303-6252
Phone (270) 240-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170720003089 KY Practitioner - Clinical Social Worker 7214207430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2817 Veach Rd
Owensboro, KY 42303-6252
Phone (270) 240-5312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3642KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Therapeutic Associates LLC Clinical Current Accepting new patients
Hope Counseling Services, LLC Clinical CurrentSince Jun 21, 2017 Accepting new patients

Locations

2817 Veach Rd
Owensboro, KY 42303
Phone (270) 240-5312

2816 Veach Rd
Ste 308
Owensboro, KY 42303
Phone (270) 926-1150

3300 Frederica St
Owensboro, KY 42301

Organizations & group practices 2

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1053674176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036252",
            "telephone_number": "270-240-5312",
            "fax_number": "270-495-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036252",
            "telephone_number": "270-240-5312",
            "fax_number": "270-495-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "AMY",
        "middle_name": "PRATER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.