Provider Demographics
NPI:1467550228
Name:HARDNER, ANN M (LSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:HARDNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2903
Mailing Address - Country:US
Mailing Address - Phone:814-453-4309
Mailing Address - Fax:814-459-1191
Practice Address - Street 1:1020 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-1517
Practice Address - Country:US
Practice Address - Phone:814-453-4309
Practice Address - Fax:814-459-1191
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011772L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
2041367OtherCIGNA PROVIDER ID