Active NPI
Lisa Hardcastle, LCSW
- Clinical Social Worker
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005737
- Practice address
- 474R School St
East Hartford, CT 06108-1149 - Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005737 | CT | Primary |
Addresses
Primary practice location
474R School St
East Hartford, CT 06108-1149
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522
Other practice location 1
153 Hazard Ave
Enfield, CT 06082-4592
Phone (877) 884-3571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
101 Cambridge St
Suite 230
Burlington, MA 01803-3768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005737 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Community Health Resources, Inc. | Past | Accepting new patients | |
| Community Health Resources, Inc. | Past | Accepting new patients |
Locations
40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847
101 Cambridge St
Ste 230
Burlington, MA 01803
Phone (603) 472-2846
Interoperability endpoints
- lisa.hardcastle.1@28623.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Counseling Psychologist
- Newburyport, MA
- NPI 1831970904
-
- Counseling Psychologist
- Woburn, MA
- NPI 1205617370
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Windsor, CT
- NPI 1215979810
-
- Adult Mental Health Clinic/Center
- Windsor, CT
- NPI 1295800795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1720158090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WATERSIDE XING STE 401",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951588",
"telephone_number": "860-731-5522",
"fax_number": "860-731-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474R SCHOOL ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081149",
"telephone_number": "860-731-5522",
"fax_number": "860-731-5536"
}
],
"practiceLocations": [
{
"address_1": "153 Hazard Ave",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060824592",
"country_code": "US",
"telephone_number": "877-884-3571",
"fax_number": "860-731-5536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDCASTLE",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.