Provider Demographics
NPI:1538284591
Name:HARDWICK, JUDY L (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:L
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 N MOPAC EXPY
Mailing Address - Street 2:SUITE 501
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8375
Mailing Address - Country:US
Mailing Address - Phone:512-777-3115
Mailing Address - Fax:512-691-9007
Practice Address - Street 1:8500 N MOPAC EXPY
Practice Address - Street 2:SUITE 501
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8375
Practice Address - Country:US
Practice Address - Phone:512-777-3115
Practice Address - Fax:512-691-9007
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41686104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker