Altan C Hardcastle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-28700 Issued in ID

Practice address

732 Washington Ave
Pocatello, ID 83201-3748

Phone

(208) 852-6385

NPI assigned

Mar 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204934400000",
    "number": "1457521114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 KURTWOOD DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043556",
            "telephone_number": "208-852-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-852-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDCASTLE",
        "first_name": "ALTAN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-28700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Lyn Hansen, B.S.
• Kyle Hanson, LPC
• Karon A Hapke, LMSW
• Dominic Haragos, MD
• Hunter Nicole Marie Haralson
• Creighton Alves Hardin, M.D.
• Matt Hardin, LPC
• Shayna Larae Harding, APRN
• Rebecca Hardy, L.C.S.W.
• Nicole Harman

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.