Provider Demographics
NPI:1407103872
Name:HARDCASTLE-ORR, WES JAMES (MSW)
Entity Type:Individual
Prefix:MR
First Name:WES
Middle Name:JAMES
Last Name:HARDCASTLE-ORR
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:WES
Other - Middle Name:JAMES
Other - Last Name:ORR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:21 COVE CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9384
Mailing Address - Country:US
Mailing Address - Phone:912-695-7863
Mailing Address - Fax:
Practice Address - Street 1:513 E OGLETHORPE AVE STE F
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-4141
Practice Address - Country:US
Practice Address - Phone:912-208-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801080076101YA0400X, 101YM0800X, 1041C0700X
GACSW0066881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN