Active NPI
Joanna Halley Hardis, LISW
- Social Worker
- Beachwood, OH
National Provider Identifier
1154445278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I 0008313
- Practice address
- Cleveland Center for Eating Disorders
23240 Chagrin Blvd Suite 270
Beachwood, OH 44122 - Phone
- (216) 765-0500
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | I 0008313 | OH | Primary |
Addresses
Primary practice location
Cleveland Center for Eating Disorders
23240 Chagrin Blvd Suite 270
Beachwood, OH 44122
Mailing address
2508 Edgehill Road
Cleveland Heights, OH 44106
Phone (216) 371-4914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0008313 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154445278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 EDGEHILL ROAD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-371-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLEVELAND CENTER FOR EATING DISORDERS",
"address_2": "23240 CHAGRIN BLVD SUITE 270",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-765-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIS",
"first_name": "JOANNA",
"middle_name": "HALLEY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I 0008313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.