=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841199460
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DE'NASIA NYKERA HARDY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2026
-----------------------------------------------------
Last Update Date | 11/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 CAROLINA AVE
-----------------------------------------------------
City | GROVER
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28073-9551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-476-8351
-----------------------------------------------------
Fax | 704-297-4646
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 E 2ND AVE
-----------------------------------------------------
City | GASTONIA
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28052-4358
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-874-1902
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | P024868
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------