Individual provider Active NPI

Allison Deanna Hardy, LISW-CP

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1386112175
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12572 Issued in SC
Practice address
1052 Gardner Rd Ste 900
Charleston, SC 29407-5702
Phone
(843) 410-3682
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 12572 SC Primary

Addresses

Primary practice location

1052 Gardner Rd Ste 900
Charleston, SC 29407-5702

Mailing address

1052 Gardner Rd Ste 900
Charleston, SC 29407-5702
Phone (843) 410-3682

Other practice location 1

2097 Henry Tecklenburg Dr
Charleston, SC 29414-5740
Phone (843) 958-2555

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12572SCMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1386112175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 GARDNER RD STE 900",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075702",
            "telephone_number": "843-410-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 GARDNER RD STE 900",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075702",
            "telephone_number": "843-410-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2097 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145740",
            "country_code": "US",
            "telephone_number": "843-958-2555",
            "fax_number": "843-402-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "ALLISON",
        "middle_name": "DEANNA",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.