Individual provider Active NPI

Elizabeth Anne Hardy, LICSW

  • Clinical Social Worker
  • Saugus, MA
National Provider Identifier
1831307164
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112258 Issued in MA
Practice address
99 Walnut St
Suite F
Saugus, MA 01906-1980
Phone
(617) 784-9045
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 112258 MA Primary

Addresses

Primary practice location

99 Walnut St
Suite F
Saugus, MA 01906-1980

Mailing address

99 Walnut St
Suite F
Saugus, MA 01906-1980
Phone (617) 784-9045

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000018 MA Practitioner - Clinical Social Worker 0446350383 Practice locations: Saugus, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99 Walnut St
Suite F
Saugus, MA 01906-1980
Phone (617) 784-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112258MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dontie Wilkinson, Licsw, LLC PastSince Sep 25, 2022 Accepting new patients
Lynnfield Psychological Associates, PC PastSince Jul 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1831307164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALNUT ST",
            "address_2": "SUITE F",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061980",
            "telephone_number": "617-784-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALNUT ST",
            "address_2": "SUITE F",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061980",
            "telephone_number": "617-784-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

Verify at the official NPI Registry.