Active NPI
Kathleen Newsom Hardie, L.C.S.W.
- Clinical Social Worker
- Clarksville, TN
National Provider Identifier
1891823738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4281
- Practice address
- 2141 Old Ashland City Rd
Clarksville, TN 37043 - Phone
- (931) 553-8500
- Fax
- (931) 553-8544
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4281 | TN | Primary |
Addresses
Primary practice location
2141 Old Ashland City Rd
Clarksville, TN 37043
Mailing address
2141 Old Ashland City Rd
Clarksville, TN 37043
Phone (931) 553-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3921997 | Medicaid | TN | |
| 3928973 | Medicaid | TN |
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 |
|---|---|---|---|
| 4281 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1891823738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 OLD ASHLAND CITY RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-553-8500",
"fax_number": "931-553-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 OLD ASHLAND CITY RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-553-8500",
"fax_number": "931-553-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIE",
"first_name": "KATHLEEN",
"middle_name": "NEWSOM",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3921997",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3928973",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.