Active NPI
Marie Nicole Hardaker, LCSW
- Social Worker
- Tampa, FL
National Provider Identifier
1699068619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW128367
- Practice address
- 5404 Cypress Center Dr
Tampa, FL 33609-1044 - Phone
- (804) 904-6518
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW 7292 | FL | |
| Clinical Social Worker | 1041C0700X | SW11953 | FL | |
| Clinical Social Worker | 1041C0700X | 0904008799 | VA | |
| Clinical Social Worker | 1041C0700X | LSWW-1409 | WY | |
| Social Worker | 104100000X | SW128367 | PA | Primary |
Addresses
Primary practice location
5404 Cypress Center Dr
Tampa, FL 33609-1044
Mailing address
593 Ozona Village Drive
Palm Harbor, FL 34683
Phone (727) 804-3933
Other names 1
- Patience Hardaker
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW 7292 | FL | MD | Social Worker |
| SW128367 | PA | MD | Social Worker |
| SW11953 | FL | MD | Clinical Social Worker |
| LSWW-1409 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1699068619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 OZONA VILLAGE DRIVE",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34683",
"telephone_number": "727-804-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 CYPRESS CENTER DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091044",
"telephone_number": "804-904-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDAKER",
"first_name": "MARIE",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW 7292",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11953",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008799",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LSWW-1409",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW128367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATIENCE",
"last_name": "HARDAKER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.