Individual provider Active NPI

Teresa Anne Hardley, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1205545472
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68926 Issued in TX
Practice address
12343 Hymeadow Dr Ste 3E
Austin, TX 78750-1858
Phone
(512) 861-4154
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 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 68926 TX Primary

Addresses

Primary practice location

12343 Hymeadow Dr Ste 3E
Austin, TX 78750-1858

Mailing address

222 Haverhill Dr
San Antonio, TX 78228-3206
Phone (708) 214-2392

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68926TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My-Emerge PLLC Clinical CurrentSince Nov 20, 2022 Accepting new patients

Locations

12343 Hymeadow Dr
Ste 3E
Austin, TX 78750
Phone (512) 861-4154

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1205545472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HAVERHILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283206",
            "telephone_number": "708-214-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12343 HYMEADOW DR STE 3E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501858",
            "telephone_number": "512-861-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDLEY",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.