Terry A Hardison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001149 Issued in NC

Practice address

925 Conference Dr
Greenville, NC 27858-5971

Phone

(252) 756-4899

Fax

(252) 756-5141

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dream Provider Care Services

  • Mental Health Counselor
  • Washington, NC
  • NPI 1912952672

  Clinical

  Medicare reassignment NPD
• Eastern Psychiatric & Behavioral Specialists, PLLC

  • Medical Specialty Clinic/Center
  • Greenville, NC
  • NPI 1558426007

  Clinical

  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1073678587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STEWART PKWY",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894972",
            "telephone_number": "252-798-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585971",
            "telephone_number": "252-756-4899",
            "fax_number": "252-756-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002754",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "131RM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED IDENTIFICATION NUMBER",
            "identifier": "562165173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Townsend Hardin
• Casey Kee Hardison, AGPCNP
• Jessica Heckart Hardison, PNP
• Karlee Hardison
• Rachel Hardison, MD
• Liza Hardy-Braz, MA, ED, OTRL
• Destini Hardy-Stover, OTR/L
• Eva Adams Hardy, ANP-BC
• Jalen Hardy
• Jessica Heath Hardy

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.