Individual provider Active NPI

Angela Bontemps Hardman, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1700143096
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2455 Issued in OK
Practice address
10159 E 11TH St
Tulsa, OK 74128-3058
Phone
(918) 237-9508
Fax
(918) 844-6993
NPI assigned
Apr 12, 2012
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 2455 OK Primary

Addresses

Primary practice location

10159 E 11TH St
Tulsa, OK 74128-3058

Mailing address

8302 N 101St East Ave
Owasso, OK 74055-2365
Phone (918) 272-1556

Other practice location 1

2121 S 125th East Ave Ste 106
Tulsa, OK 74129-5800
Phone (918) 574-8442

Other names 1

  • Angela Gayle Hardman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220120000395 OK Practitioner - Clinical Social Worker 0446642698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Dawn Counseling Services LLC CurrentSince Jan 11, 2022 Accepting new patients

Locations

2227 S Garnett Rd
Ste 106
Tulsa, OK 74129
Phone (918) 409-9677

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1700143096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 N 101ST EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552365",
            "telephone_number": "918-272-1556",
            "fax_number": "918-272-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 E 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741283058",
            "telephone_number": "918-237-9508",
            "fax_number": "918-844-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S 125th East Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741295800",
            "country_code": "US",
            "telephone_number": "918-574-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "ANGELA",
        "middle_name": "BONTEMPS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HARDMAN",
            "middle_name": "GAYLE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.