Individual provider Active NPI

Vanessa Hardage

  • Clinical Social Worker
  • Nashville, AR
National Provider Identifier
1194400663
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9528C Issued in AR
Practice address
508 N 2ND St
Nashville, AR 71852-3925
Phone
(870) 455-0134
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 9528C AR Primary

Addresses

Primary practice location

508 N 2ND St
Nashville, AR 71852-3925

Mailing address

508 N 2ND St
Nashville, AR 71852-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240126001635 AR Practitioner - Clinical Social Worker 2961855838 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9528CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Clinic, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Sparkfit Community Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

508 N 2nd St
Nashville, AR 71852
Phone (870) 455-0134

2500 Lakeview Rd
North Little Rock, AR 72116
Phone (501) 322-3374

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1194400663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N 2ND ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N 2ND ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523925",
            "telephone_number": "870-455-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAGE",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9528C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.