Individual provider Active NPI

Shari M Hardies III, LCSW

  • Clinical Social Worker
  • Niwot, CO
National Provider Identifier
1801059084
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1405 Issued in CO
Practice address
6897 Paiute Ave Ste 5
Niwot, CO 80503-7169
Phone
(303) 652-4196
Fax
(303) 652-4007
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 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 1405 CO Primary

Addresses

Primary practice location

6897 Paiute Ave Ste 5
Niwot, CO 80503-7169

Mailing address

1333 Iris Ave
Boulder, CO 80304-2226
Phone (720) 406-3604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150824000074 CO Practitioner - Clinical Social Worker 8820303670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amavi Integrative Mental Wellness LLCGroup PAC ID 4082043401, 27 clinicians

Practice addresses (Care Compare)

6897 Paiute Ave
Suite 5
Niwot, CO 80503-7169
Phone (303) 652-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1405COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amavi Integrative Mental Wellness LLC CurrentSince Apr 18, 2024 Accepting new patients

Locations

6897 Paiute Ave
Ste 5
Niwot, CO 80503
Phone (303) 652-4196

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1801059084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "720-406-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6897 PAIUTE AVE STE 5",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037169",
            "telephone_number": "303-652-4196",
            "fax_number": "303-652-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIES",
        "first_name": "SHARI",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niwot, CO

Sources for this page

Verify at the official NPI Registry.