Individual provider Active NPI

Fanta Hardwell

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1306448931
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109422 Issued in TX
Practice address
7314 Gettysburg Dr
Richmond, TX 77469-6052
Phone
(832) 660-8473
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13706 TX
Clinical Social Worker 1041C0700X 109422 TX Primary

Addresses

Primary practice location

7314 Gettysburg Dr
Richmond, TX 77469-6052

Mailing address

16835 Rippling Mill Dr
Sugar Land, TX 77498-1933
Phone (832) 660-8473

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
I20250717000017 TX Practitioner - Clinical Social Worker 6204341209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

123 25TH St
FL 7
Galveston, TX 77550-1487

123 25TH St
Suite 7100
Galveston, TX 77550-1494

2200 Market St
Suite 600
Galveston, TX 77550-1559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109422TXMDClinical Social Worker
13706TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center of Galveston County, Texas Past 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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1306448931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 RIPPLING MILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981933",
            "telephone_number": "832-660-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 GETTYSBURG DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774696052",
            "telephone_number": "832-660-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWELL",
        "first_name": "FANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.