Healthcare Provider Details

I. General information

NPI: 1205752888
Provider Name (Legal Business Name): YASMEEN SHERI HARDY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3647 TOP OF THE PINES CT
RALEIGH NC
27604-5054
US

IV. Provider business mailing address

3647 TOP OF THE PINES CT
RALEIGH NC
27604-5054
US

V. Phone/Fax

Practice location:
  • Phone: 252-378-7087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: