Individual provider Active NPI

Loretta M Hardy, MSW, LCSW

  • Clinical Social Worker
  • Caddo, OK
National Provider Identifier
1073831046
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4798 Issued in OK
Practice address
9034 S Bluebird LN
Caddo, OK 74729-5295
Phone
(580) 889-0208
NPI assigned
May 14, 2010
Last updated
Oct 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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 4798 OK Primary

Addresses

Primary practice location

9034 S Bluebird LN
Caddo, OK 74729-5295

Mailing address

9034 S Bluebird LN
Caddo, OK 74729-5295
Phone (580) 889-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20150218000747 OK Practitioner - Clinical Social Worker 5294050191 Reassigns benefits to 1 organization
Practice locations: Durant, OK; Caddo, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Jan 20, 2015 Accepting new patients
Landmark Behavioral Health, LLC Past Accepting new patients

Locations

1223 Baltimore St
Durant, OK 74701
Phone (580) 924-0496

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1073831046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034 S BLUEBIRD LN",
            "city": "CADDO",
            "state": "OK",
            "postal_code": "747295295",
            "telephone_number": "580-889-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9034 S BLUEBIRD LN",
            "city": "CADDO",
            "state": "OK",
            "postal_code": "747295295",
            "telephone_number": "580-889-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "LORETTA",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caddo, OK

Sources for this page

Verify at the official NPI Registry.