Individual provider Active NPI

Nicholas Hardy, LCSW

  • Clinical Social Worker
  • Rosharon, TX
National Provider Identifier
1194028662
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63156 Issued in TX
Practice address
13806 Sandstone Bridge LN
Rosharon, TX 77583-1612
Phone
(901) 550-9585
NPI assigned
Dec 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 63156 TX Primary

Addresses

Primary practice location

13806 Sandstone Bridge LN
Rosharon, TX 77583-1612

Mailing address

13806 Sandstone Bridge LN
Rosharon, TX 77583-1612
Phone (901) 550-9585

Other practice location 1

13806 Sandstone Bridge Lane
Rosharon, TX 77583-1612
Phone (713) 609-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240805003443 TX Practitioner - Clinical Social Worker 8921545252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63156TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Behavioral Health LLC CurrentSince Jul 2, 2024 Accepting new patients

Organizations & group practices 1

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1194028662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13806 SANDSTONE BRIDGE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831612",
            "telephone_number": "901-550-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13806 SANDSTONE BRIDGE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831612",
            "telephone_number": "901-550-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13806 Sandstone Bridge Lane",
            "address_purpose": "LOCATION",
            "city": "Rosharon",
            "state": "TX",
            "postal_code": "775831612",
            "country_code": "US",
            "telephone_number": "713-609-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

Verify at the official NPI Registry.