Jessica Maria Hardial, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090731 Issued in NY

Practice address

145 Sunrise Hwy Ste 7
Lindenhurst, NY 11757-2500

Phone

(516) 254-9201

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Blossoming Lotus Therapy LCSW PLLC

  • Clinical Social Worker
  • Lindenhurst, NY
  • NPI 1720754245
  NPD Authorized official
• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)
• New York Psychotherapy and Counseling Center

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1902811342
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1366893240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SUNRISE HWY STE 7",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572500",
            "telephone_number": "516-254-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNRISE HWY STE 7",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572500",
            "telephone_number": "516-254-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Franklin Ave Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302927",
            "country_code": "US",
            "telephone_number": "516-254-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIAL",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lindenhurst",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Lindenhurst",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 N Fulton Ave",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117572121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly A Hallahan
• Brooke Hambrecht, LCSW
• Stephanie Marie Hamilton, RN
• Mary Hanley, LCSW
• Harbor Chiropractic PC
• Amanda Hart, PH.D., M.S.ED.
• Kaitlin Harvey, LMSW
• Haven on Earth
• Haven Within Creative Arts Therapy PLLC
• Erin C Hayes, LCSW

• Clinical Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.