Provider Demographics
NPI:1942570700
Name:HARDIN, JANET ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELIZABETH
Last Name:HARDIN
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 1:1745 S ALMA SCHOOL RD STE 172
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3011
Mailing Address - Country:US
Mailing Address - Phone:602-324-4676
Mailing Address - Fax:480-209-1063
Practice Address - Street 1:1745 S ALMA SCHOOL RD STE 172
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3011
Practice Address - Country:US
Practice Address - Phone:602-324-4676
Practice Address - Fax:480-209-1063
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW130611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical