Provider Demographics
NPI:1609764265
Name:HARDEMAN, ELIZABETH ANN BROWN (LMSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN BROWN
Last Name:HARDEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-1641
Mailing Address - Country:US
Mailing Address - Phone:641-658-9223
Mailing Address - Fax:
Practice Address - Street 1:616 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1641
Practice Address - Country:US
Practice Address - Phone:641-658-9223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131365104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker