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NPI Code Detail

MEDICARE: BRENDA L HARDIN LCSE

MEDICARE: BRENDA L HARDIN LCSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34005983A.IN
21041C0700XClinical Social WorkerIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417043571
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA L HARDIN LCSE
Provider Business Mailing Address
First Line : PO BOX 746720
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6720
Country : US
Telephone Number : 773-828-0232
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 5926 CRAWFORDSVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-3722
Country : US
Telephone Number : 317-653-2730
Fax Number : 317-321-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 06/20/2025

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