Healthcare Provider Details

I. General information

NPI: 1225180839
Provider Name (Legal Business Name): DOREEN FRANCES HARDY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CAROLINE ST
WORCESTER MA
01604
US

IV. Provider business mailing address

10 WENTWORTH DR
AUBURN MA
01501
US

V. Phone/Fax

Practice location:
  • Phone: 508-757-0376
  • Fax: 508-421-9382
Mailing address:
  • Phone: 508-832-5880
  • Fax: 508-421-9382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1020194
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number111931
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: